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BLD2022-1118+Application+8.19.2022_11.12.47_AM+3061727CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1190536 - Brackett's Reserve Applicant First Name Last Name Company Name Jeff Weqener Pacific Ridqe Homes Number Street Apartment or Suite Number E-mail Address 17921 Bothell -Everett Hwy 100 JLWegener(cD_pacificridgehomes.com City State Zip Phone Number Extension Bothell WA 98012 (425) 219-2087 Contractor Company Name BDZ CONSTRUCTION Number Street Apartment or Suite Number 3207 PACIFIC AVE City State Zip Phone Number Extension EVERETT WA 98201 (425)259-2290 State License Number License Expiration Date UBI # F-mail Address BDZCOC*902LT 7/2/2024 601219807 terry(aD_bdzconstruction.com Project Location Number Street Floor Number Suite or Room Number 9109 240TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00463301300301 Associated Building Permit Number Tenant Name PLN2021-0037 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name *Jeff PACIFIC RIDGE DRH LLC Number Street Apartment or Suite Number 17921 BOTHELL EVERETT HW 100 City State Zip BOTHELL WA 98012 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: 8/19/2022 Submitted By: Jeff Wegener Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1190536 - Brackett's Reserve Project Contact Company Name: Pacific Ridge Homes Name: Jeff Wegener Email: JLWegener@pacificridgehomes.com Address: 17921 Bothell -Everett Hwy Phone #: (425) 219-2087 Bothell WA 98012 Project Type Single Family Residential Activity Type Scope of Work Demolition Primary Residence Project Name: Brackett's Reserve Description of Work: Demo existing house (approx. 1508 sq ft) and detached garage (approx. 280 sq Project Details Demolition Information Number of dwelling units to be demolished Number of structures to be demolished. Square feet to be demolished. The year the structure was built. This property is part of a current or future short plat or lot line adjustment. Contact Information Owner Email Address 1 2 1,788 1957 JLWegener@pacificridgehomes.com Page 2 of 2