BLD2020-1033+Application+10.1.2020_12.58.14_PMCITY OF EDMONDS MyBuildingPermit.com
Building Application #866852 - Helleren Lot 1 Building Permit
Applicant
First Name Last Name Company Name
Leif Helleren Leif Helleren Construction, Inc.
Number Street Apartment or Suite Number E-mail Address
P.O. Box 1764
City State Zip
Edmonds WA 98020
Contractor
Company Name
LEIF HELLEREN CONSTRUCTION INC
Number Street
PO BOX 1764
lee.michaelis@pugetsoundplanninq.com
Phone Number Extension
(206) 533-8200
Apartment or Suite Number
City
State Zip
Phone Number Extension
EDMONDS
WA 98020
2065338200
State License Number
License Expiration Date
UBI #
E-mail Address
LEIFHC10380T
10/3/2021
601818421
lee. michaelis(cbpugetsouInd plan ninq.com
Project Location
Number Street
Floor Number Suite or Room Number
10727 226TH ST SW
City
Zip Code
County Parcel Number
EDMONDS
98020
27032500310300
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
KariJ Johannessen
Number Street Apartment or Suite Number
10727 226TH ST SW
City State Zip
EDMONDS WA 98020-6132
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: 10/1/2020 Submitted By: Leif Helleren
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #866852 - Helleren Lot 1 Building Permit
Project Contact
Company Name: Puget Sound Planning, LLC
Name: Lee Michaelis Email: lee.a.michaelis@gmail.com
Address: 5005 200th St SW Suite Phone #: 4258301046
101-B
Lynnwood WA 98036
Project Type Activity Type Scope of Work
Single Family Residential New Construction Residence
Project Name: Helleren Lot 1 Building Permit
Description of Work: Construction of a 3,126 sf single family residence and garage/shop
Project Details
Structure Type
Single Family Dwelling
Project Information
Square Feet - Floor 1
153
Square Feet - Floor 2
999
Square Feet - Other
173
Square Feet - Garage
1,974
Total Dwelling Units
1
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