ENG2023-0331+ROW Application+7.5.2023_10.10.37_AM+3647560CITY OF EDMONDS MyBuitdingPermit.com
Right -of -Way Application #1342368 - Shen/Federman
Applicant
First Name Last Name Company Name
Jason Holub DLH inc
Number Street Apartment or Suite Number E-mail Address
44021 SE Tanner Rd Ste A jason(Ddlhinc.com
City State Zip Phone Number Extension
North Bend WA 98045 (425) 985-2862
Contractor
Company Name
DLHINC
Number
Street
Apartment or Suite Number
44021
SE Tanner Road
Ste A
City
State Zip
Phone Number Extension
North Bend
WA 98045
(425) 888-1853
State License Number
License Expiration Date
UBI # E-mail Address
DLHIN**072B5
3/30/2024
601426869 lason(D_dlhinc.com
Project Location
Number
Street
Floor Number Suite or Room Number
23310
NUMBER LN
City
Zip Code
County Parcel Number
EDMONDS
98020
00571300101000
Associated Building Permit
Number
Tenant Name
2023-0401
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Bernard T & Federman Catherine D Shen
Number Street Apartment or Suite Number
417 NW 132ND ST
City State Zip
SEATTLE WA 98177
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: 7/5/2023 Submitted By: Jason Holub
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CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1342368 - Shen/Federman
Project Contact
Company Name: DLH inc
Name: Jason Holub Email: jason@dlhinc.com
Address: 44021 SE Tanner Rd Ste A Phone #: (425) 985-2862
North Bend WA 98045
Project Type Activity Type Scope of Work
Single Family Residential New Excavation and Utility Work
Project Name: Shen/Federman
Description of Work: Demolition of existing single family home and construction of new single family
home
Project Details
Project Information
Driveway Access
Storm Drainage Tie -In
Utility Service Installation
Impervious Surface
Adding/Replacing 2,000 square feet or more of hard
surface
Clearing and Grading Information
This is neither new development nor redevelopment.
Tree Removal
There are no significant trees being removed
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