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ENG2022-0477+Application+9.25.2022_11.13.08_PM+3127647CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1206850 - Duffy Right of Way Permit Applicant First Name Last Name Company Name Brian & Nancy Duffy Number Street Apartment or Suite Number E-mail Address 23511 74th Ave W nancy(LD-mcduffycpa.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 890-1653 Contractor Company Name ENCORE CONSTRUCTION LLC Number Street Apartment or Suite Number 20604 10th PI W City State Zip Lynnwood WA 98036 State License Number License Expiration Date ENCORCL857K6 12/14/2023 Project Location Number Street 23511 74TH AVE W City Zip Code EDMONDS 98026 Associated Building Permit Number BLD2022-1025 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Phone Number Extension (425) 359-9896 UBI # E-mail Address 603507820 dlokhmatov(aDgmail.com County Parcel Number 27043200200100 Tenant Name Floor Number Suite or Room Number 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: 9/25/2022 Submitted By: Brian & Nancy Duffy Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1206850 - Duffy Right of Way Permit Project Contact Company Name: Name: Lee Michaelis Address: 6100 219th St SW Suite 480 Mountlake Terrace WA 98043 Project Type Single Family Residential Email: lee.michaelis@pugetsoundplanning.com Phone #: (425) 830-1046 Activity Type Scope of Work New Excavation and Utility Work Project Name: Duffy Right of Way Permit Description of Work: Trench and excavate for the installation of a new water service line. Work includes pavement restroration Project Details Project Information Utility Service Installation Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Clearing and Grading Information This is redevelopment Tree Removal There are no significant trees being removed Page 2 of 2