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ENG2024-0132+Application+3.25.2024_1.42.49_PM+4155266CITY OF EDMONDS MyBuildingPermit.com IF Right -of -Way Application #1463229 - WESTGATE STATION II Applicant First Name Last Name Company Name Jared Underbrink CG ENGINEERING Number Street Apartment or Suite Number E-mail Address 250 4th Ave S jaredu(.@cgengineerinq.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 778-8500 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date Number Street 9601 EDMONDS WAY City Zip Code EDMONDS 98020 Associated Building Permit Number BLD2022-0527 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Phone Number Extension UBI # E-mail Address County Parcel Number 00937900001000 Tenant Name Vacant Last Name or Company Name WZL ENTERPRISES LLC Floor Number Suite or Room Number Number Street Apartment or Suite Number 2800 WESTERN AVE 112 City State Zip SEATTLE WA 98121 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: 3/25/2024 Submitted By: Jared Underbrink Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Right -of -Way Application #1463229 - WESTGATE STATION II Project Contact Company Name: CG ENGINEERING Name: Jared Underbrink Email: jaredu@cgengineering.com Address: 250 4th Ave S Phone #: (425) 778-8500 Edmonds WA 98020 Project Type Activity Type Scope of Work Mixed Use New Excavation and Utility Work Project Name: WESTGATE STATION II Description of Work: Mixed use building with parking areas, walkways, two new driveways and utility improvements. Project Details Project Information Driveway Access Fire Hydrant Other Sidewalk Improvements Utility Service Installation Impervious Surface Adding/Replacing 2,000 square feet or more of hard surface Clearing and Grading Information This is new development Tree Removal There are no significant trees being removed Page 2 of 2