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BLD2022-0727+Application+6.3.2022_3.01.35_PM+2903140CITY OF EDMONDS MyBuilaingPermit.com Building Application #1150922 - Plum Tree Plaza demolition Applicant First Name Last Name Company Name Michael Bramhall Deqenkolb Engineers Number Street Apartment or Suite Number E-mail Address 600 University St 720 mbramhall(@_degenkolb.com City State Zip Phone Number Extension Seattle WA 98101 (206) 718-1094 Contractor Company Name BELFOR USA GROUP INC Number Street Apartment or Suite Number 4320 S 131 st PL 100 City State Zip Phone Number Extension Seattle WA 98168 206-632-0800 State License Number License Expiration Date UBI # E-mail Address BELFOUG99OBJ 12/20/2022 602089710 David. Ste phens(�D_us. belfor.com Project Location Number Street Floor Number Suite or Room Number 22315 HIGHWAY 99 1 6-10 City Zip Code County Parcel Number EDMONDS 98026 27042900302700 Associated Building Permit Number Tenant Name 1150811 Multiple tenants Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PACIFIC PLAZA LLC Number Street Apartment or Suite Number 10120 NE 59TH ST City State Zip KIRKLAND WA 98033 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: 6/3/2022 Submitted By: Michael Bramhall Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.cam Building Application #1150922 - Plum Tree Plaza demolition Project Contact Company Name: Degenkolb Engineers Name: Michael Bramhall Email: mbramhall@degenkolb.com Address: 600 University St 720 Phone #: (206) 718-1094 Seattle WA 98101 Project Type Activity Type Scope of Work Nonresidential Demolition Primary Building Project Name: Plum Tree Plaza demolition Description of Work: Demolition of a portion of the existing roof framing damaged by fire Project Details Demolition Information Number of structures to be demolished. 1 Square feet to be demolished. 5,500 The year the structure was built. 1987 Page 2 of 2