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BLD2021-0092+Application+1.25.2021_9.43.18_AM+2006611CITY OF EDMONDS MyBuildingPermit.com Clearing and Grading Application #912732 - Main Street Commons Applicant First Name Last Name Company Name Mike Mclsaac Wilcox Construction Number Street Apartment or Suite Number E-mail Address 234 5th Ave South mmcisaac(cb_wilcoxconstruction.com City State Zip Phone Number Extension Edmonds WA 98020 (206)817-0351 Contractor Company Name WILCOX CONSTRUCTION INC Number Street Apartment or Suite Number 234 5th Avenue south City State Zip Phone Number Extension Edmonds WA 98020 4257744185 State License Number License Expiration Date UBI # E-mail Address WILCOC*194Q0 12/10/2021 319007592 mmcisaac(o)_wilcoxconstruction.com Project Location Number Street Floor Number Suite or Room Number 550 MAIN ST City Zip Code County Parcel Number EDMONDS 98020 00434212001500 Associated Building Permit Number Tenant Name BLD2019-0529 Vacant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Mike SEATTLE-SNOHOMISH MILL COMPANY INC Number Street Apartment or Suite Number 535 5th Ave South 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: 1/25/2021 Submitted By: Mike Mclsaac Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Clearing and Grading Application #912732 - Main Street Commons Project Contact Company Name: Wilcox Construction Name: Mike Mclsaac Email: mmcisaac@wilcoxconstruction.com Address: 234 5th Ave South Phone #: (206)817-0351 Edmonds WA 98020 Project Type Activity Type Scope of Work Commercial New Clearing and Grading Project Name: Main Street Commons Description of Work: Detention Vault construction . Submitting the structural drawings as a deferred approval. Project Details Development Type Commercial Project Information This is a redevelopment Clearing and Grading Information Total cubic yards of cut and fill 920 Additional Parcels: 00434212001700 Page 2 of 2