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ENG2022-0459+Application+9.7.2022_3.35.13_PM+3095186-1; CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1198725 - Pawling Right of Way Permit Applicant First Name Last Name Company Name Gretchen Pawlinq Number Street Apartment or Suite Number E-mail Address 755 Daley St pawlingg(�D_gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 719-0793 Contractor Company Name COMPLETE EXCAVATING LLC Number Street Apartment or Suite Number 18225 Burn Rd. City State Zip Phone Number Extension Arlinqton WA 98223 (425) 330-1580 State License Number License Expiration Date UBI # E-mail Address COMPLEL82205 10/10/2022 604331204 lustin(D_completeex.com Project Location Number Street Floor Number Suite or Room Number 755 DALEY ST City Zip Code County Parcel Number EDMONDS 98020 00434208302500 Associated Building Permit Number Tenant Name BLD2021-1667 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Gretchen G Pawlinq Number Street Apartment or Suite Number 755 DALEY ST 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: 9/7/2022 Submitted By: Gretchen Pawling Page 1 of 2 i -1; CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1198725 - Pawling Right of Way Permit Project Contact Company Name: PLCet Sound Planning, Name: Lee Michaelis Address: 6100 219th St SW Mountlake Terrace WA 98043 Project Type Single Family Residential Email: lee.michaelis@pugetsoundplannin.com Phone #: (425) 830-1046 Activity Type Scope of Work New Excavation and Utility Work Project Name: Pawling Right of Way Permit Description of Work: New utility connections to include water, side sewer, and storm tie in. Work also includes undergroungding of existing dry utilities. Project Details Project Information Storm Drainage Tie -In Utility Service Installation Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Clearing and Grading Information This is redevelopment Tree Removal There are no significant trees being removed Page 2 of 2