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ENG2022-0518+Application+10.19.2022_9.03.16_AM+3172964CITY OF EDMONDS MyBuildingPermit.com IF Right -of -Way Application #1217971 - Sharma Residence Applicant First Name Last Name Company Name Edward Pozniak Architectural Innovations Number Street Apartment or Suite Number E-mail Address 14311 SE 16th Street ed(cDkapplerhomeplans.com City State Zip Phone Number Extension Bellevue WA 98007 (425) 641-5320 Contractor Company Name RAYNE ENTERPRISES LLC Number Street Apartment or Suite Number 18930 BOTHELL EVERETT HWY City State Zip Phone Number Extension Bothell WA 98012 4252369191 State License Number License Expiration Date UBI # E-mail Address RAYNEEL826RG 12/11/2022 604366695 ed(aD_kapplerhomeplans.com Project Location Number Street Floor Number Suite or Room Number 8422 238TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00463300900200 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 Chander Sharma Number Street Apartment or Suite Number 8422 238TH 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: 10/19/2022 Submitted By: Edward Pozniak Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1217971 - Sharma Residence Project Contact Company Name: Architectural Innovations Name: Edward Pozniak Email: ed@kapplerhomeplans.com Address: 14311 SE 16th Street Phone #: (425) 641-5320 Bellevue WA 98007 Project Type Activity Type Scope of Work Single Family Residential New Excavation and Utility Work Project Name: Sharma Residence Description of Work: Expand and repair existing driveway and utility connections associated with permit BLD2022-0561 Project Details Project Information Driveway Access Storm Drainage Tie -In Utility Service Installation Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Clearing and Grading Information This is new development Tree Removal There are no significant trees being removed Page 2 of 2