BLD2022-1556+Application+11.11.2022_3.32.31_PM+3216513CITY OF EDMONDS MyBuildingPermit.com
Clearing and Grading Application #1228774 - Glacier Site Grading
Applicant
First Name Last Name Company Name
Lauren Golembiewski Glacier Environmental Services, Inc.
Number Street Apartment or Suite Number E-mail Address
PO BOx 1097
City State Zip
Mukilteo WA 98275
Contractor
Company Name
GLACIER ENVIRONMENTAL SRVC INC
Number Street
PO Box 1097
LMiles(c�glacierenviro.com
Phone Number Extension
(425) 355-2826
Apartment or Suite Number
City State Zip Phone Number Extension
Mukilteo WA 98275 425-355-2826
State License Number License Expiration Date UBI # E-mail Address
GLACIES108C7 1/14/2024 601225417 LMiles(aD_glacierenviro.com
Project Location
Number Street Floor Number Suite or Room Number
7509 212TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00566900400600
Associated Building Permit Number Tenant Name
BLD2022-1541
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
DRT HOLDINGS LLC
Number Street Apartment or Suite Number
PO Box 1097
City State Zip
MUKILTEO WA 98275
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: 11/11/2022 Submitted By: Lauren Golembiewski
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CITY OF EDMONDS MyBuildingPermit.com
Clearing and Grading Application #1228774 - Glacier Site Grading
Project Contact
Company Name: Glacier Environmental Services,
Inc.
Name: Lauren Golembiewski Email: LMiles@glacierenviro.com
Address: PO BOx 1097 Phone #: (425) 355-2826
Mukilteo WA 98275
Project Type Activity Type Scope of Work
Commercial New Clearing and Grading
Project Name: Glacier Site Grading
Description of Work: Clearing and Grading, stormwater detention & treatment
Project Details
Development Type
Commercial
Project Information
This is a redevelopment
Clearing and Grading Information
Total cubic yards of cut and fill 250
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