BLD2022-0634+Application+5.16.2022_9.53.59_AM+2867438CITY OF EDMONDS MyBuildingPermit.com
Building Application #1138359 - Glacier Redevelopment
Applicant
First Name Last Name Company Name
Lauren Golembiewski Glacier Environmental Services, Inc.
Number Street Apartment or Suite Number E-mail Address
PO Box 1097
City State Zip
Mukilteo WA 98275
Contractor
Company Name
GLACIER ENVIRONMENTAL SRVC INC
Number Street
PO Box 1097
City
State Zip
Mukilteo
WA 98275
State License Number
License Expiration Date
GLACI ES 108C7
1 /14/2024
Project Location
Number Street
7509 212TH ST SW
City
Zip Code
EDMONDS
98026
Associated Building Permit Number
PLN2022-0012
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
LMiles(�D_glacierenviro.com
Phone Number Extension
(425)355-2826
Apartment or Suite Number
Phone Number Extension
425-355-2826
UBI # E-mail Address
601225417 LMiles(a)_glacierenviro.com
County Parcel Number
00566900400600
Tenant Name
Floor Number Suite or Room Number
First Name Last Name or Company Name
DRT HOLDINGS LLC
Number Street Apartment or Suite Number
19215 92nd Ave W
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: 5/16/2022 Submitted By: Lauren Golembiewski
Page 1 of 2
CITY OF EDMONDS M BuildingPerrnit.cam
Building Application #1138359 - Glacier Redevelopment
Project Contact
Company Name: Glacier Environmental Services,
Inc.
Name: Lauren Golembiewski Email: LMiles@glacierenviro.com
Address: PO Box 1097 Phone #: (425)355-2826
Mukilteo WA 98275
Project Type
Single Family Residential
Activity Type Scope of Work
Demolition Primary Residence
Project Name: Glacier Redevelopment
Description of Work: Demolition of existing structures.
Project Details
Demolition Information
Number of dwelling units to be demolished 3
Number of structures to be demolished. 3
Square feet to be demolished. 2,564
The year the structure was built. 1940
Page 2 of 2