817974_Application_Jun_16_2020_12_41PM (2)CITY OF EDMONDS MyBuildingPermit.com
Land Use Application #817974 - Retaining wall demolition
Applicant
First Name Last Name Company Name
Jorge Florez
Number Street Apartment or Suite Number E-mail Address
16000 75th pl w gira1dotatiana77(ayahoo.com
City State Zip Phone Number Extension
Edmonds WA 98026 4257505803
Contractor
Company Name
Number Street
Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
16000 75TH PL W
City Zip Code County Parcel Number
EDMON DS 98026 00513102901100
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Jorge A Florez
Number Street Apartment or Suite Number
16000 75TH PL W
City State Zip
EDMONDS WA 98026-4524
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: 6/16/2020 Submitted By: Jorge Florez
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CITY OF EDMONDS MyBuildingPermit.com
Land Use Application #817974 - Retaining wall demolition
Project Contact
Company Name:
Name: Jorge Florez Email: giraldotatiana77@yahoo.com
Address: 16000 75th pl w Phone #: 4257505803
Edmonds WA 98026
Project Type Activity Type Scope of Work
New Critical Areas Critical Areas Review
Project Name: Retaining wall demolition
Description of Work: Retaining wall demolition required by the City
Project Details
Critical Area Information
Unknown
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