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BLD2023-0138+Application+2.2.2023_11.36.37_AM+3347616CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1263288 - Retaining Wall 2023 Applicant First Name Last Name Company Name John Weiss Number Street Apartment or Suite Number E-mail Address 1013 9th Ave S ]rweiss98020(.@-comcast.net City State Zip Phone Number Extension Edmonds WA 98020-3909 (206) 484-0372 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 1013 9TH AVE S City Zip Code County Parcel Number EDMONDS 98020 27032500109200 Associated Building Permit Number Tenant Name BLD2022-1427 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name John Weiss Number Street Apartment or Suite Number 1013 9TH AVE S City State Zip Edmonds WA 98020-3909 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: 2/2/2023 Submitted By: John Weiss Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1263288 - Retaining Wall 2023 Project Contact Company Name: Name: John Weiss Email: jrweiss98020@comcast.net Address: 1013 9th Ave S Phone #: (206) 484-0372 Edmonds WA 98020-3909 Project Type Activity Type Scope of Work Single Family Residential New Construction Retaining Wall Project Name: Retaining Wall 2023 Description of Work: Rebuild existing retaining wall per new engineering drawings. Previous application BLD2022-1427 Project Details Work Location Work Description/Location (example: 1 st floor, Front yard, west edge of property Master Bath, Garage) Contact Information Owner Email Address jrweiss98020@comcast.net Page 2 of 2