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Building PermitType: RESIDENTIAL BLDG Subtype: NEW SINGLE FAMILY I Status: ISSUED Parcel No: 00555300100902 Site Address: 23222 EDMONDS WAY 109 EDMONDS,WA 98026- 8623 Subdivision: 005553, SP 49 (2-79) Lot: 0 Fire Sprinklers: No Lot Area: Zoning: RM-1.5 Valuation: $0.00 Occupancy Type: R-3/U Construction Type: VB Code Edition: 2012 No. Stories: 3 # of Dwelling Units: 1 Scope of Work: BRACKETT COURT- SFR COMPLIANCE FOR UNIT LOT SUB DIV WA State Contractor L & I #: Applied: 10/27/2023 Issued: 2/9/2024 Final: Expiration Date: 2/3/2025 Issued by: BAC CONTACTS NAME TYPE NAME ADDRESS PHONE EMAIL APPLICANT NEIL LATTA 5970 BIRCH POINT RD, BLAINE (360)927-9525 NLATTA@LATTAENGINEERING.COM WA 98230 5970 BIRCH POINT RD, BLAINE CONTACT LATTA ENGINEERING, PLLC (360)927-9525 nlatta@lattaengineering.com WA 98230 CONTRACTOR CONTRACTOR UNKNOWN PO BOX 31097, SEATTLE WA OWNER KAUTZ ROUTE LLC 98103 FEE INFORMATION DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT# BLD - HOURLY PLAN REVIEW 001.000.345.83.000.00 $126.00 $126.00 10/30/23 R32360 BLD - PER INSPECTION 001.000.345.83.000.00 $126.00 $126.00 2/8/24 R34792 CITY TECHNOLOGY FEE - PER 001.000.321.99.100.00 $45.00 $45.00 10/30/23 R32360 PERMIT PARK IMPACT - RES ADMIN FEE 001.000.345.83.000.00 $60.00 $60.00 2/8/24 R34792 PARK IMPACT - SINGLE FAMILY 332.100.345.85.000.00 $393.89 $393.89 2/8/24 R34792 STATE BUILDING CODE SURCHARGE 001.000.237.150 $6.50 $6.50 2/8/24 R34792 - RES TOTALS: $757.39 $757.39 CONDITIONS INSPECTIONTYPE INSPECTOR COMPLETED RESULT NOTES Printed: Friday, February 09, 2024 9:19:06 AM 1 of 1