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BLD2022-0766+Application+6.10.2022_3.44.51_PM+2926142CITY OF EDMONDS MyBuildingPermit.com Building Application #1157330 - 1214 Retaining Wall 2022 Applicant First Name Last Name Company Name Howard Chermak Number Street Apartment or Suite Number E-mail Address 1214 11th Place North howardchermak(.@-outlook.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 605-8400 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 1214 11TH PL N City Zip Code County Parcel Number EDMONDS 98020 00606600001600 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 Howard & Judith Chermak Number Street Apartment or Suite Number 1214 11TH PL N 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: 6/10/2022 Submitted By: Howard Chermak Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #1157330 - 1214 Retaining Wall 2022 Project Contact Company Name: Name: Howard Chermak Email: howardchermak@outlook.com Address: 1214 11th Place North Phone #: (206) 605-8400 Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential New Construction Retaining Wall Project Name: 1214 Retaining Wall 2022 Remove existing wood timber retaining wall disturbing as little existing vegetation on slope as Description of possible. Place approximately 70' of concrete retaining wall as designed by structural Work: engineer. Daylight drainage pipe from behind wall into gravel swale built in 1984 to dissipate surface water. Plant new plants on slope. Project Details Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Contact Information Owner Email Address Replace existing wood retaining wall with reinforced concrete wall. New wall begins at south property line and continues parallel to east property line for 70' howardchermak@outlook.com Page 2 of 2