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BLD2023-1063+Application+8.25.2023_12.55.04_PM+3748163CITY OF EDMOill MyBuildingPermit.com Building Application #1367099 - Rodriguez Hillside renovation Applicant First Name Last Name Company Name raphael rodriquez Number Street Apartment or Suite Number E-mail Address 18418 olympic view drive raphae198006('�b_gmail.com City State Zip Phone Number Extension edmonds WA 98020 (206) 920-6640 Contractor Company Name DEX NW CONTRACTING LLC Number Street Apartment or Suite Number 7525 NE 104TH AVE City State Zip Phone Number Extension VANCOUVER WA 98662 3602138008 State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 18418 OLYMPIC VIEW DR City Zip Code County Parcel Number EDMONDS 98020 00565600200300 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 Raphael N Ttee Rodriquez Number Street Apartment or Suite Number 18418 OLYMPIC VIEW DR City State Zip EDMONDS WA 98020-2348 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: 8/25/2023 Submitted By: raphael rodriguez Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1367099 - Rodriguez Hillside renovation Project Contact Company Name: Name: raphael n rodriguez Email: raphael98006@gmail.com Address: 18418 olympic view drive Phone #: (206) 920-6640 edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential New Construction Retaining Wall Project Name: Rodriguez Hillside renovation Description of Work: placement of retaining wall and pilings Project Details Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Contact Information Owner Email Address West -facing hillside overlooking the railroad tracks raphael98006@gmail.com Page 2 of 2