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BLD2021-1023+Application+7.23.2021_8.51.52_AM+2317821CITY OF EDMONDS nnysuilaingPermit.com Building Application #985423 - Tarqueno Residence Applicant First Name Last Name Company Name Brianna Bliven CG Engineering Number Street Apartment or Suite Number E-mail Address 250 4th Ave S Suite 200 briannab(.@_cgengineerinq.com City State Zip Phone Number Extension Edmonds WA 98020 4257788500 Contractor Company Name ALL ASPECTS CONCRETE CONST LLC Number Street Apartment or Suite Number 903 187TH PL SW City State Zip Phone Number Extension LYNNWOOD WA 98036 (206)919-1477 State License Number License Expiration Date UBI # E-mail Address ALLASAC863PH 10/13/2022 603436563 briannab@cgengineering.com Project Location Number Street Floor Number Suite or Room Number 841 ELM WAY City Zip Code County Parcel Number EDMONDS 98020 27032500300100 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 Joe Tarqueno Number Street Apartment or Suite Number 841 ELM WAY City State Zip EDMONDS WA 98020-3902 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: 7/23/2021 Submitted By: Brianna Bliven Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #985423 - Tarqueno Residence Project Contact Company Name: CG Engineering Name: Zach Hoffman Email: zachh@cgengineering.com Address: 250 4th Ave S 4th Ave S Phone #: 4257788500 Edmonds WA 98020 Project Type Single Family Residential Activity Type New Construction Scope of Work Retaining Wall Project Name: Tarqueno Residence Description of Work: New concrete retaining wall to stabilize the area and replace a failing timber retaining wall. Project Details Structure Type Retaining Wall Page 2 of 2