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BLD2022-0971+Application+7.20.2022_4.14.31_PM+3002479CITY OF EDMOill MyBuildingPermit.com Building Application #1176269 - Duffy Demolition Permit Applicant First Name Last Name Company Name Nancy Duffy Number Street Apartment or Suite Number E-mail Address 23511 74th Ave W nancylduffy(a�gmail.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 830-1046 Contractor Company Name ENCORE CONSTRUCTION LLC Number Street Apartment or Suite Number 7910 123RD AVE NE City State Zip Phone Number Extension LAKE STEVENS WA 98258 (425) 359-9896 State License Number License Expiration Date UBI # E-mail Address ENCORCL857K6 12/14/2023 603507820 dlokhmatov(Dgmail.com Project Location Number Street Floor Number Suite or Room Number 23511 74TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27043200200100 Associated Building Permit Number Tenant Name 1176281 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Brian F & Nancy Duffy Number Street Apartment or Suite Number 23511 74TH AVE W City State Zip EDMONDS WA 98026-8500 Certification Statement - The applicant states: 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. 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: 7/20/2022 Submitted By: Nancy Duffy Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1176269 - Duffy Demolition Permit Project Contact Company Name: PLCet Sound Planning, Name: Lee Michaelis Address: 6100 219th St SW Mountlake Terrace WA 98043 Project Type Single Family Residential Email: lee.michaelis@pugetsoundplanning.com Phone #: (425) 830-1046 Activity Type Scope of Work Demolition Primary Residence Project Name: Duffy Demolition Permit Description of Work: The project involves the demolition of an existing single-family residence. The foundation slab and portions of foundation walls will remain. Project Details Demolition Information Number of dwelling units to be demolished Number of structures to be demolished. Square feet to be demolished. The year the structure was built. Contact Information Owner Email Address 1 1 3,012 1954 nancylduffy@gmail.com Page 2 of 2