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BLD2024-0795+Application+6.14.2024_10.59.09_AM+4323335CITY OF EDMONDS MyBuitdingPermit.com Building Application #1502967 - Point Edwards Eagles Nest Clubhouse - Slab Repai Applicant First Name Last Name Company Name Chris Bacus Pacific Enqineerinq Technoloqies Number Street Apartment or Suite Number E-mail Address 2150 N. 107th St. 320 cbacus(a_)_pacengtech.com City State Zip Phone Number Extension Seattle WA 98133 (206) 281-7500 Contractor Company Name C D K CONST SERVICES INC Number Street Apartment or Suite Number 26231 PO Box 1767 City State Zip Phone Number Extension Duvall WA 98019 (425) 788-8441 State License Number License Expiration Date UBI # E-mail Address CDKCOS1066MA 10/19/2025 601513599 chris davies(a_cdkconstruction.com Project Location Number Street Floor Number Suite or Room Number 55 PINE ST All Clubhouse City Zip Code County Parcel Number EDMON DS 98020 01022605510100 Associated Building Permit Number Tenant Name Clubhouse Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Jay & Shirley Acheson Number Street Apartment or Suite Number 16 BIN YARD LANE City State Zip LEAVENWORTH WA 98826 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: 6/14/2024 Submitted By: Chris Bacus Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1502967 - Point Edwards Eagles Nest Clubhouse - Slab Repai Project Contact Company Name: Pacific Engineering Technologies Name: Chris Bacus Email: cbacus@pacengtech.com Address: 2150 N. 107th St. 320 Phone #: (206) 281-7500 Seattle WA 98133 Project Type Activity Type Scope of Work Multifamily Residential Replacement Deck or Porch Project Name: Point Edwards Eagles Nest Clubhouse - Slab Repair Description of THE SCOPE OF WORK IS TO DEMOLISH A PORTION OF THE EXISTING SLAB AND Work: INSTALL A NEW REINFORCED CONCRETE SLAB SUPPORTED WITH DRIVEN PIPE PILES. Valuation: $138,181 Project Details Primary Use Residential Condos Page 2 of 2