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BLD2023-1362+Application+10.27.2023_10.58.47_AM+3865731CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1396322 - Brackett Court Unit Lot Subdivision Applicant First Name Last Name Company Name NEIL LATTA Latta Engineering, PLLC Number Street Apartment or Suite Number E-mail Address 5970 BIRCH POINT RD nlatta(D_Iattaengineerinq.com City State Zip Phone Number Extension BLAINE WA 98230 (360) 927-9525 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date UBI # Number Street 23230 EDMONDS WAY City Zip Code EDMONDS 98026 Associated Building Permit Number PLN2023-0047 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Steve Price Number Street PO BOX 31097 County Parcel Number 00555300100902 Tenant Name Last Name or Company Name KAUTZ ROUTE LLC Phone Number Extension E-mail Address Floor Number Suite or Room Number Apartment or Suite Number City State Zip SEATTLE WA 98103 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: 10/27/2023 Submitted By: NEIL LATTA Page 1 of 2 CITY OF EDMONDS M BuildingPerrntt.com Building Application #1396322 - Brackett Court Unit Lot Subdivision Project Contact Company Name: Latta Engineering, PLLC Name: NEIL LATTA Email: nlatta@lattaengineering.com Address: 5970 BIRCH POINT RD Phone #: (360) 927-9525 BLAINE WA 98230 Project Type Single Family Residential Activity Type New Construction Scope of Work Residence Project Name: Brackett Court Unit Lot Subdivision Description of Work: Building permit application requested for existing building per unit lot subdivision application Project Details Structure Type Duplex Project Information Square Feet - Other Total Bedrooms Total Bathrooms Total Dwelling Units Critical Area Information None Contact Information Owner Email Address 1,516 2 3 1 sprice@reresources.com Page 2 of 2