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BLD2020-1378+Application+12.16.2020_10.40.17_AM+1950302CITY OF EDMONDS MyBuilaingPermit.coin Building Application #897324 - 323 Daley St Demo Permit Applicant First Name Last Name Company Name Brian Cloward cloward Sustainable desiqn Number Street Apartment or Suite Number E-mail Address 630 NW 81st Street briancloward(.@-comcast.net City State Zip Phone Number Extension Seattle WA 98117 2067550759 Contractor Company Name PREMIERE HOMES LLC Number Street Apartment or Suite Number 528 PINE ST #1 City State Zip Phone Number Extension EDMONDS WA 98020 4253599189 State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 323 DALEY ST City Zip Code County Parcel Number EDMONDS 98020 00434211903000 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 Dennis DALEY STREET BUILDERS LLC Number Street Apartment or Suite Number 528 PINE ST 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: 12/16/2020 Submitted By: Brian Cloward Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #897324 - 323 Daley St Demo Permit Project Contact Company Name: cloward Sustainable design Name: Brian Cloward Email: briancloward@comcast.net Address: 630 NW 81st Street Phone #: 2067550759 Seattle WA 98117 Project Type Single Family Residential Activity Type Scope of Work Demolition Primary Residence Project Name: 323 Daley St Demo Permit Description of Work: Demolish existing house and garage for future planned single family construction work to be under separate permit application. Project Details Demolition Information Number of dwelling units to be demolished 1 Number of structures to be demolished. 2 Square feet to be demolished. 1,297 The year the structure was built. 1920 Page 2 of 2