BLD2022-0643+Application+5.17.2022_8.16.43_AM+2874297CITY OF EDMONDS MyBuilaingPermit.com
Building Application #1143049 - Pawling Demolition Permit
Applicant
First Name Last Name Company Name
Lee Michaelis Puget Sound Planninq, LLC
Number Street Apartment or Suite Number E-mail Address
P. 0. Box 65198
City State Zip
Shoreline WA 98155
Contractor
Company Name
LEIF HELLEREN CONSTRUCTION INC
Number Street
PO BOX 1764
City
State Zip
EDMONDS
WA 98020
State License Number
License Expiration Date
LEIFHC10380T
10/3/2023
Project Location
Number Street
755 DALEY ST
City
Zip Code
EDMONDS
98020
Associated Building Permit Number
BLD2021-1667
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
tom(@_lerendesign.com
Phone Number Extension
4258301046
Apartment or Suite Number
Phone Number Extension
(206) 533-8200
UBI # E-mail Address
601818421 steveIns 1043(cD-comcast. net
County Parcel Number
00434208302500
Tenant Name
Floor Number Suite or Room Number
First Name Last Name or Company Name
Gretchen G Pawlinq
Number Street Apartment or Suite Number
755 DALEY 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: 5/17/2022 Submitted By: Lee Michaelis
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Building Application #1143049 - Pawling Demolition Permit
Project Contact
Company Name: Puget Sound
Planning, LLC
Name: Lee Michaelis Email: lee.michaelis@pugetsoundplanning.com
Address: P. O. Box 65198 Phone #: 4258301046
Shoreline WA 98155
Project Type Activity Type Scope of Work
Single Family Residential Demolition Primary Residence
Project Name: Pawling Demolition Permit
Description of Work: Demolition of a 2,640 square foot single family residence.
Project Details
Demolition Information
Number of dwelling units to be demolished 1
Number of structures to be demolished. 1
Square feet to be demolished. 2,640
The year the structure was built. 1958
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