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BLD2022-0778+Application+6.14.2022_4.25.39_PM+2932365CITY OF EDMONDS MyBtaildingPermit.com Building Application #1159050 - Gordon Utility Pole Strike Repair Applicant First Name Last Name Company Name Michael Bramhall Deqenkolb Engineers Number Street Apartment or Suite Number E-mail Address 600 University St 720 mbramhall(a_degenkolb.com City State Zip Phone Number Extension Seattle WA 98101 (206) 718-1094 Contractor Company Name BAILEY & BENDIKSEN RST/RML LLC Number Street Apartment or Suite Number 12918 Mukilteo Speedway C23 #364 City State Zip Phone Number Extension LYNNWOOD WA 98087 4257549927 State License Number License Expiration Date UBI # E-mail Address BAILEBR826J4 5/1/2024 604248432 paul(o-)_bbrrllc.com Project Location Number Street Floor Number Suite or Room Number 8525 OLYMPIC VIEW DR City Zip Code County Parcel Number EDMONDS 98026 00434600000200 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 James A Mckinnon Number Street Apartment or Suite Number PO BOX 13 City State Zip EDMONDS WA 98020 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: 6/14/2022 Submitted By: Michael Bramhall Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #1159050 - Gordon Utility Pole Strike Repair Project Contact Company Name: Degenkolb Engineers Name: Michael Bramhall Email: mbramhall@degenkolb.com Address: 600 University St 720 Phone #: (206) 718-1094 Seattle WA 98101 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Gordon Utility Pole Strike Repair Description of Remove and replace three rafters fractured by fallen utility pole plus 150 SF of associated Work: roof sheathing. Retrofit two additional modified rafters discovered upon removal of ceiling finish. Project Details Mechanical Included? No mechanical work will occur during this project. Plumbing Included? No plumbing work will occur during this project. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Valuation Fair Market Value of Remodeling Work Exterior Changes? The work involves changes to the exterior Contact Information Owner Email Address Roof of attic space over detached garage $50,000 mbramhall@degenkolb.com Page 2 of 2