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BLD2023-0503+Application+4.21.2023_12.29.01_PM+3497978CITY OF EDMONDS Building Application #1302960 - Legacy 2 Applicant First Name Last Name Duane Landsverk MyBuildingPermit.com Company Name Landsverk Quality Homes, Inc. Number Street Apartment or Suite Number E-mail Address 24113 56TH AVE W City State Zip Mountlake Terrace WA 98043 Contractor Company Name LANDSVERK QUALITY HOMES INC Number Street 24113 56TH AVE W City State Zip Mountlake Terrace WA 98043 State License Number License Expiration Date UBI # LANDSQH023JN 4/16/2025 601855300 Project Location Number Street 19515 94TH PL W duane(D_Igh-inc.com Phone Number Extension (425) 754-2069 City Zip Code County Parcel Number EDMONDS 98020 00434600005801 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension 4257542069 425-754-2069 E-mail Address duane@Iqh-inc.com Floor Number Suite or Room Number First Name Last Name or Company Name Duane & Deanne Landsverk Number Street Apartment or Suite Number 24113 56TH AVE W City State Zip MOUNTLAKE WA 98043 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: 4/21/2023 Submitted By: Duane Landsverk Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1302960 - Legacy 2 Project Contact Company Name: Landsverk Quality Homes, Inc. Name: Duane Landsverk Email: duane@lqh-inc.com Address: 24113 56TH AVE W Phone #: (425) 754-2069 Mountlake Terrace WA 98043 Project Type Activity Type Scope of Work Single Family Residential Demolition Primary Residence Project Name: Legacy 2 Description of Work: Demolish exiting home and building new single family residence Project Details Demolition Information Number of dwelling units to be demolished 1 Number of structures to be demolished. 1 Square feet to be demolished. 3,006 The year the structure was built. 1960 Contact Information Owner Email Address duane@LQH-inc.com Page 2 of 2