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BLD2021-1631+Application+12.3.2021_8.27.41_AM+2551256BLD2021-1631 .011, RECEIVED CITY OF EDMONDS MyBuildingPermiWW 06 2021 CITY OF EDMONDS DEVELOPMENT SERVICES Building Application #1058684 - Montclair Bldg F Entry Repair DEPARTMENT Applicant First Name Last Name Company Name Nahshon Graumann CDK Construction Services Inc. Number Street Apartment or Suite Number E-mail Address PO box 1767 ngraumann()_cdkconstruction.com City State Zip Phone Number Extension Duvall WA 98019 (206)898-2899 Contractor Company Name C D K CONST SERVICES INC Number Street Apartment or Suite Number 26231 PO Box 1767 City State Zip Phone Number Extension Duvall WA 98019 (425) 788-8441 (206) 898-2899 State License Number License Expiration Date UBI # E-mail Address CDKCOS1066MA 10/19/2023 601513599 ngrauman n(cD_cdkconstruction.com Project Location Number Street Floor Number Suite or Room Number 8500 MAIN ST 1-2 F116/216 & City Zip Code County Parcel Number EDMONDS 98026 00917500611600 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 Jennifer Hansen Yates, Woods, & MacDonald Number Street Apartment or Suite Number 8500 MAIN ST 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: 12/3/2021 Submitted By: Nahshon Graumann Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1058684 - Montclair Bldg F Entry Repair Project Contact Company Name: CDK Construction Services Inc Name: Dan Ross Email: dross@cdkconstruction.com Address: 1767 Phone #: (206) 551-0540 Duvall WA 98019 Project Type Any Project Type Activity Type Preapplication Services Project Name: Montclair Bldg F Entry Repair Description of Repair of the the Building F main entry walls outside the X01 & X16 unit stacks where Work: investigation of removed exterior wall finishes exposed water damaged shear wall framing and hardware as noted in Dibble Engineering Inc structural report dated 12/2/2021. Project Details Work Location Work Description/Location (example: 1 st floor, Rot investigation and repair required at the exterior Master Bath, Garage) walls of the main entry of the F building located at 8500 Main Street, Edmonds, WA. Page 2 of 2