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BLD2023-1421+Application+11.8.2023_9.28.33_AM+3888219CITY OF EDMONDS MyBuildingPermit.com Building Application #1401712 - Hamby Retaining Wall Applicant First Name Last Name Company Name Robin Michel Michel Desiqn Number Street Apartment or Suite Number E-mail Address 3617 Bells Beach Rd rwmichel1(abme.com City State Zip Phone Number Extension Langley WA 98260 (206) 930-2445 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 7824 175TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00679200000200 Associated Building Permit Number Tenant Name BLD2020-1343 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Michael E Hamby Number Street Apartment or Suite Number 7824 175TH ST SW City State Zip EDMONDS WA 98026 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: 11/8/2023 Submitted By: Robin Michel Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1401712 - Hamby Retaining Wall Project Contact Company Name: Michel Design Name: Robin Michel Email: rwmichell@me.com Address: 3617 Bells Beach Rd Phone #: (206) 930-2445 Langley WA 98260 Project Type Single Family Residential Activity Type New Construction Project Name: Hamby Retaining Wall Description of Work: Install retaining wall and remove excess soil Project Details Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Contact Information Owner Email Address Scope of Work Retaining Wall West side of house for new retaining wall and removal of excess soil hambymike@gmail.com Page 2 of 2