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BLD2021-0109+Application+1.27.2021_11.28.52_AM+2013231CITY OF EDMONDS Aa Building Application #914320 - Kisan Applicant First Name Last Name Robin Michel Number Street Apartment or Suite Number 7305 Soundview Drive City State Zip Edmonds WA 98026 Contractor Company Name Reqent Construction Inc Number Street 7305 Soundview Dr City State Zip EDMONDS WA 98026 State License Number License Expiration Date UBI # REGENC1891 K5 5/25/2021 603055500 Project Location Number Street 22808 EDMONDS WAY City Zip Code County Parcel Number EDMONDS 98020 27033600102300 Associated Building Permit Number Tenant Name BLD2020-0017 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBoildingPermit.com Company Name Michel Design E-mail Address rwmichel(�D_nwlink. com Phone Number Extension 2069302445 Apartment or Suite Number Phone Number Extension 8324233879 E-mail Address rwmichel@nwlink.com Floor Number Suite or Room Number All BLDG D First Name Last Name or Company Name KISAN ENTERPRISE LLC Number Street Apartment or Suite Number 20607 SR 9 SE City State Zip SNOHOMISH WA 98296-8316 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: 1/27/2021 Submitted By: Robin Michel Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #914320 - Kisan Project Contact Company Name: Michel Design Name: Robin Michel Email: rwmichel@nwlink.com Address: 7305 Soundview Drive Phone #: 2069302445 Edmonds WA 98026 Project Type Multifamily Residential Activity Type New Construction Scope of Work Primary Building Project Name: Kisan Description of Work: Construct 5 unit townhouse in a four building 18 unit project. See BLD2020-0017 for civil details Project Details Project Information IBC Occupancy type R Construction Type VB Page 2 of 2