BLD2021-1469+Application+10.26.2021_1.46.16_PM+2484070CITY OF EDMONDS M BtaildingPermit.com
Clearing and Grading Application #1040029 -19508 88th Ave W - Grading permit
Applicant
First Name
Last Name Company Name
Kayla
Nichols Select Homes, Inc.
Number Street
Apartment or Suite Number E-mail Address
8304 212th St SW
kayla.clark(D_outlook.com
City State
Zip Phone Number Extension
Edmonds WA
98026 4257426044
Contractor
Company Name
Select homes inc
Number Street
Apartment or Suite Number
8304 212th St SW
City
State Zip Phone Number Extension
Edmonds
WA 98026 (425) 742-6044
State License Number
License Expiration Date UBI # E-mail Address
SELECH1110KN
1/2/2023 601148280 kayla.clark(c_outlook.com
Project Location
Number Street
Floor Number Suite or Room Number
19508 88TH AVE W
City
Zip Code County Parcel Number
EDMONDS
98026 27041800303400
Associated Building Permit Number
Tenant Name
vacant
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
SELECT HOMES INC
Number Street Apartment or Suite Number
8304 212TH ST SW
City State Zip
EDMONDS WA 98026
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: 10/26/2021 Submitted By: Kayla Nichols
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Clearing and Grading Application #1040029 -19508 88th Ave W - Grading permit
Project Contact
Company Name: Select Homes, Inc.
Name: Kayla Nichols Email: kayla.clark@outlook.com
Address: 8304 212th St SW Phone #: 4257426044
Edmonds WA 98026
Project Type
Commercial
Activity Type
New
Scope of Work
Clearing and Grading
Project Name: 19508 88th Ave W - Grading permit
Description of Work: grading permit - 80 yards brought in
Project Details
Development Type
Stand-alone Clearing and Grading
Project Information
This is a new development
Clearing and Grading Information
Total cubic yards of cut and fill 80
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