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BLD2022-0544+Application+4.29.2022_12.18.47_PM+2836887CITY OF EDMONDS MyBuildingPermit.com Building Application #1134217 - Pine Park Unit C108 Applicant First Name Last Name Company Name Jacob Younq Citizen Desiqn Collaborative Number Street Apartment or Suite Number E-mail Address 10 Dravus Street jyoung('�Dcollaborativeco.com City State Zip Phone Number Extension Seattle WA 98109 2065357908 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 614 5TH AVE S City Zip Code EDMONDS 98020 Associated Building Permit Number BLD2022-0412 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name County Parcel Number 27032600100900 Tenant Name Last Name or Company Name BK INVESTMENT GROUP LLC Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number Number Street Apartment or Suite Number 557 ROY ST 125 City State Zip SEATTLE WA 98109 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: 4/29/2022 Submitted By: Jacob Young Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1134217 - Pine Park Unit C108 Project Contact Company Name: Citizen Design Collaborative Name: Jacob Young Email: jyoung@collaborativeco.com Address: 10 Dravus Street Phone #: 2065357908 Seattle WA 98109 Project Type Activity Type Scope of Work Single Family Residential New Construction Residence Project Name: Pine Park Unit C108 Description of Work: Construct one townhouse, Unit C108, per plans submitted under BLD2022-0412. Project Details Structure Type Single Family Dwelling Page 2 of 2