BLD2022-0982+Application+7.21.2022_4.01.13_PM+3005277CITY OF EDMONDS M BuildingPermit.com
Building Application #1176322 - Glacier Environmental Temporary Office
Applicant
First Name Last Name Company Name
Lauren Golembiewski Glacier Environmental Services, Inc.
Number Street Apartment or Suite Number E-mail Address
PO Box 1097
City State Zip
Mukilteo WA 98275
Contractor
Company Name
GLACIER ENVIRONMENTAL SRVC INC
Number Street
PO Box 1097
City
State Zip
Mukilteo
WA 98275
State License Number
License Expiration Date
GLACI ES 108C7
1 /14/2024
Project Location
Number Street
7509 212TH ST SW
City
Zip Code
EDMONDS
98026
Associated Building Permit Number
PLN2022-2012
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
LMiles(�D_glacierenviro.com
Phone Number Extension
(425) 355-2826
Apartment or Suite Number
Phone Number Extension
425-355-2826
UBI # E-mail Address
601225417 LMiles(a)_glacierenviro.com
Floor Number Suite or Room Number
1 none
County Parcel Number
00566900400600
Tenant Name
Glacier Environmental Services, Inc
First Name Last Name or Company Name
Lauren Golembiewski
Number Street Apartment or Suite Number
7509 212TH ST SW
City State Zip
EDMONDS WA 98026-7605
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: 7/21/2022 Submitted By: Lauren Golembiewski
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #1176322 - Glacier Environmental Temporary Office
Project Contact
Company Name: Glacier Environmental Services,
Inc.
Name: Lauren Golembiewski Email: LMiles@glacierenviro.com
Address: PO Box 1097 Phone #: (425) 355-2826
Mukilteo WA 98275
Project Type Activity Type Scope of Work
Nonresidential New Construction Accessory Building
Project Name: Glacier Environmental Temporary Office
Description of Work: 48'x12' temporary office trailer for use by Glacier admin staff during construction. Office
will house 2-5 employees. No public access or customer service.
Project Details
Structure Type
Accessory Structure
Project Information
Square Feet - Building 576
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
No plumbing work will occur during this project.
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