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BLD2022-0869+Application+7.1.2022_12.51.20_PM+2967138CITY OF EDMONDS nn BtaildingPermit.com Building Application #1167467 - Cascadian appts fire repair unit 201 Applicant First Name Last Name Company Name Alexander Dariotis Woodway Homes Inc Number Street Apartment or Suite Number E-mail Address 6306 176th st. SW dariotis2@gmai1.com City State Zip Phone Number Extension Lynnwood WA 98037-2904 (425) 773-4356 Contractor Company Name PACIFIC NORTHWEST RSTRTN1 LLC Number Street Apartment or Suite Number 5576 BEVERLY AVE NE City State Zip Phone Number Extension TACOMA WA 98422 4253369181 State License Number License Expiration Date UBI # E-mail Address PACIFNR784JD 4/19/2024 604803047 dariotis2@gmail.com Project Location Number Street Floor Number Suite or Room Number 9504 EDMONDS WAY 2 201 City Zip Code County Parcel Number EDMONDS 98020 27033600100300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Jeffrey G & Lisa W Ttees Sterlinq Number Street Apartment or Suite Number 901 WESTMINSTER Cl City State Zip EVERETT WA 98203-3204 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 7/1/2022 Submitted By: Alexander Dariotis Page 1 of 2 i CITY OF EDMONDS MyBuildingPerrnicot.m „c Building Application #1167467 - Cascadian appts fire repair unit 201 Project Contact Company Name: Woodway Homes Inc Name: Alexander Dariotis Email: dariotis2@gmail.com Address: 6306 176th st. SW Phone #: (425) 773-4356 Lynnwood WA 98037-2904 Project Type Multifamily Residential Activity Type Remodel Project Name: Cascadian appts fire repair unit 201 Description of Work: Gut unit to studs and replace like for like. Project Details Primary Use Residential Apartments Valuation Fair Market Value of Construction Work $31,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2