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BLD2022-0501+Application+4.21.2022_11.30.02_AM+2818676CITY OF EDMONDS MyBuilaingPermit.com Building Application #1129244 - Harbor Square Elevator Pit Applicant First Name Last Name Company Name Emma Hutchinson CG Engineering Number Street Apartment or Suite Number E-mail Address 250 4th Ave South emmah(D_cgengineerinq.com City State Zip Phone Number Extension Edmonds WA 98020 4257788500 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 190 W DAYTON ST City EDMONDS Associated Building Permit Number Zip Code County Parcel Number 98020 27032300406400 Tenant Name Port of Edmonds 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 1 None -lobby First Name Last Name or Company Name PORT OF EDMONDS Number Street Apartment or Suite Number 336 ADMIRAL WAY City State Zip EDMONDS WA 98020-7214 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: 4/21/2022 Submitted By: Emma Hutchinson Page 1 of 2 i CITY OF EDMONDS MyBuilcodin�Perrnit.m „c Building Application #1129244 - Harbor Square Elevator Pit Project Contact Company Name: CG Engineering Name: Emma Hutchinson Address: 250 4th Ave South Edmonds WA 98020 Project Type Nonresidential Email: emmah@cgengineering.com Phone #: 4257788500 Project Name: Harbor Square Elevator Pit Description of Work: Replace elevator pit Project Details Activity Type Remodel Valuation Fair Market Value of Construction Work $30,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2