BLD2021-1236+Application+9.2.2021_1.38.53_PM+2333538CITY OF EDMONDS MyBuilaingPermit.com
Building Application #999692 - Retaining Wall Demolition
Applicant
First Name Last Name Company Name
Michael Samora
Number Street Apartment or Suite Number E-mail Address
7330 172nd St SW mikesamora(D_hotmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 4252207774
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
7330 172ND ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00513100013909
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
First Name Last Name or Company Name
Amy M & Michael A Samora
Number Street Apartment or Suite Number
7330 172ND ST SW
City State Zip
EDMONDS WA 98026
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: 9/2/2021 Submitted By: Michael Samora
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CITY OF EDMONDS M BuildingPerrnit.cam
Building Application #999692 - Retaining Wall Demolition
Project Contact
Company Name:
Name: Michael Samora Email: mikesamora@hotmail.com
Address: 7330 172nd St SW Phone #: 4252207774
Edmonds WA 98026
Project Type
Single Family Residential
Activity Type Scope of Work
Demolition Accessory Building
Project Name: Retaining Wall Demolition
Description of Work: Remove existing upper and lower block retaining walls in City ROW adjacent to the
north property line and regrade ROW to a 2H:1V inclination.
Project Details
Demolition Information
Number of structures to be demolished. 1
Square feet to be demolished. 165
The year the structure was built. 2017
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