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ENG2024-0329+Application+7.1.2024_12.47.19_PM+4348501CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1510827 - Pine Court Estates Demo Applicant First Name Last Name Company Name Larry Kiel KLP, Inc. Number Street Apartment or Suite Number E-mail Address 10511 19th Ave SE Suite C larrykiel(abmac.com City State Zip Phone Number Extension Everett WA 98208 (425) 754-8686 Contractor Company Name KLPINC Number Street Apartment or Suite Number 12728 12728 BOTHELL EVERETT HWY City State Zip Phone Number Extension EVERETT WA 98208 (425) 379-2844 State License Number License Expiration Date UBI # E-mail Address KLPIN**044KP 12/9/2024 601674178 larrykieUD-mac.com Project Location Number Street Floor Number Suite or Room Number 23706 84TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00463300800104 Associated Building Permit Number Tenant Name BLD2024-0580 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name * Last Name or Company Name PINE COURT ESTATES LLC Number Street Apartment or Suite Number 10511 19TH AVE SE C City State Zip EVERETT WA 98208 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: 7/1/2024 Submitted By: Larry Kiel Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1510827 - Pine Court Estates Demo Project Contact Company Name: KLP, Inc. Name: Larry Kiel Email: larrykiel@mac.com Address: 10511 19th Ave SE Suite C Phone #: (425) 754-8686 Everett WA 98208 Project Type Single Family Residential Activity Type Scope of Work New Excavation and Utility Work Project Name: Pine Court Estates Demo Description of Work: Demo of sfr and 2 detached garages Project Details Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Tree Removal There are no significant trees being removed Page 2 of 2