ENG2023-0473+Application+9.15.2023_2.27.26_PM+3786469CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1376786 - 310 Daley ROW
Applicant
First Name Last Name Company Name
Jacob Younq Citizen Desiqn Collaborative
Number Street Apartment or Suite Number E-mail Address
10 Dravus Street jyounq(aDcollaborativeco.com
City State Zip Phone Number Extension
Seattle WA 98109 (206) 535-7908
Contractor
Company Name
REFORM CONST & DEV LLC
Number Street Apartment or Suite Number
PO BOX 65073
City
State Zip
SHORELINE
WA 98155
State License Number
License Expiration Date
REFORCD778DH
3/17/2025
Project Location
Number Street
310 DALEY ST
City
Zip Code
EDMONDS
98020
Associated Building Permit Number
BLD2022-1329&PLN2
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
(503) 828-4279
UBI # E-mail Address
605020976 chad(a�_reformconstructiondevelopment.co
County Parcel Number
00434202600101
Tenant Name
Vacant
Floor Number Suite or Room Number
First Name Last Name or Company Name
Auqustus J Bukowski
Number Street Apartment or Suite Number
1516 9TH AVE N
City State Zip
EDMONDS WA 98020
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: 9/15/2023 Submitted By: Jacob Young
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CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1376786 - 310 Daley ROW
Project Contact
Company Name: Citizen Design Collaborative
Name: Jacob Young Email: jyoung@collaborativeco.com
Address: 10 Dravus Street Phone #: (206) 535-7908
Seattle WA 98109
Project Type
Multifamily Residential
Project Name: 310 Daley ROW
Activity Type Scope of Work
New Excavation and Utility Work
Install right-of-way improvements associated with the subdivision and development of
Description of adjacent private property. Right-of-way improvements include sidewalk, curb ramp, curb and
Work: gutter, driveway entrances, street trees, pavement and utilities. All improvements on adjacent
private property under separate permit.
Project Details
Project Information
Driveway Access
Fire Hydrant
Sidewalk Improvements
Storm Drainage Tie -In
Utility Service Installation
Impervious Surface
Adding/Replacing 2,000 square feet or more of hard
surface
Tree Removal
There are no significant trees being removed
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