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BLD2023-0305+Application+3.9.2023_1.58.34_PM+3412023CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1280541 -Landscaping Wall Applicant First Name Last Name Company Name Derek Janke Number Street Apartment or Suite Number E-mail Address 803 6th Ave S edmonds803(D_gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 380-4021 Contractor Company Name ANGLE STONE LLC Number Street Apartment or Suite Number 624 SW 128TH ST City State Zip Phone Number Extension SEATTLE WA 98146 (206)353-0679 State License Number License Expiration Date UBI # E-mail Address ANGLESL835KW 1/24/2025 604092100 anglestone.11c(o_)_gmail.com Project Location Number Street Floor Number Suite or Room Number 803 6TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00610900001102 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 Derek W & Kacie S Ttee Janke Number Street Apartment or Suite Number 803 6TH AVE S City State Zip EDMONDS WA 98020-4009 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: 3/9/2023 Submitted By: Derek Janke Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1280541 -Landscaping Wall Project Contact Company Name: Name: Address: Derek Janke 803 6th Ave S Edmonds WA 98020 Email: edmonds803@gmail.com Phone #: (206) 380-4021 Project Type Activity Type Scope of Work Single Family Residential New Construction Retaining Wall Project Name: Landscaping Wall Description of Work: Retroactive permit for landscape wall. Project Details Work Location Construct landscaping wall. Wall located adjacent to 6th Ave S and Driveway heading East. Retroactive permit Work Description/Location (example: 1 st floor, as wall has been poured and CRA2023-0025 has Master Bath, Garage) determined that an interrupted buffer exist. Wall is below the height that would require a permit were it not for the critical area study. Contact Information Owner Email Address edmonds803@gmail.com Page 2 of 2