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BLD2022-1542+Application+11.9.2022_1.09.21_PM+3211846CITY OF EDMONDS MyBuildingPermit.com Building Application #1227573 - Glacier Environmental New Development 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 city Mukilteo State License Number GLACIES108C7 Project Location Number Street 7509 212TH ST SW City EDMONDS Associated Building Permit Number LMiles(c�glacierenviro.com Phone Number Extension (425) 355-2826 Apartment or Suite Number State Zip Phone Number Extension WA 98275 4253552826 License Expiration Date UBI # E-mail Address 1/14/2024 601225417 Imiles(cD_glacierenviro.com Floor Number Suite or Room Number 1 None Zip Code County Parcel Number 98026 00566900400600 Tenant Name Glacier Environmental Services, Inc Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name DRT HOLDINGS 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: 11/9/2022 Submitted By: Lauren Golembiewski Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1227573 - Glacier Environmental New Development 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 Nonresidential New Construction Accessory Building Project Name: Glacier Environmental New Development Description of Work: Construct Pre Engineered Metal Building Warehouse/Shop measuring 40'x80' wth a max roof height of 25-feet. Project Details Structure Type Shop Project Information Square Feet - Building 3,200 Mechanical Included? Mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Page 2 of 2