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BLD2020-0899+Application+8.28.2020_8.20.05_AMCITY OF EDMONDS Building Application #849977 - Harris Duplex Applicant First Name Last Name David Harris Number Street Apartment or Suite Nur 19702 20th Ave NW City State Zip SHORELINE WA 98177 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location i MyBuitdingPermit.com Company Name David Harris Enterprises r E-mail Address Harris.davidml'gD_hotmail.com Phone Number Extension 206-546-5392 Apartment or Suite Number Phone Number Extension E-mail Address Number Street Floor Number Suite or Room Number 21022 74TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00566900400201 Associated Building Permit Number Tenant Name BLD2020-0893 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name David M Harris Number Street Apartment or Suite Number 19702 20TH AVE NW City State Zip SHORELINE WA 98177 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: 8/28/2020 Submitted By: David Harris Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #849977 - Harris Duplex Project Contact Company Name: WESI Name: TIM SARKELA Email: TIMS@WESI.CO Address: 9740 Evergreen Way Evergreen Way Phone #: 4253562700 Everett WA 98204 Project Type Activity Type Scope of Work Single Family Residential Demolition Primary Residence Project Name: Harris Duplex Description of Work: Clearing and grading for construction of a duplex, associated driveway, and drainage improvements. Project Details Demolition Information Number of dwelling units to be demolished 1 Number of structures to be demolished. 1 Square feet to be demolished. 1,206 The year the structure was built. 1955 Page 2 of 2