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BLD2023-1033+Application+8.16.2023_10.20.55_AM+3728820CITY OF EDMONDS MyBuildingPermit.com IF Building Application #1362267 - Johnson Trust Duplex Site Applicant First Name Last Name Company Name Ronald Johnson Ronald D. Johnson Architect P.S. Number Street Apartment or Suite Number E-mail Address 19601 23rd Ave NW ronarchps(LDoutlook.com City State Zip Phone Number Extension Shoreline WA 98177-2366 (206) 546-2288 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 8529 238TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00463300800500 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Ronald D & Maile M Johnson Number Street Apartment or Suite Number 19601 23RD NW City State Zip SHORELINE WA 98177 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: 8/16/2023 Submitted By: Ronald Johnson Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1362267 - Johnson Trust Duplex Site Project Contact Company Name: Ronald D. Johnson Architect P.S. Name: Ronald Johnson Email: ronarchps@outlook.com Address: 19601 23rd Ave NW Phone #: (206) 546-2288 Shoreline WA 98177-2366 Project Type Activity Type Scope of Work Single Family Residential Demolition Primary Residence Project Name: Johnson Trust Duplex Site Description of Work: Demo existing residence and clear rear property of all vegetation for future development of 7 units Project Details Demolition Information Number of dwelling units to be demolished Number of structures to be demolished. Square feet to be demolished. The year the structure was built. Contact Information Owner Email Address 1 1 1,496 1952 Ronald D. Johnson ronarchps@outlook.com Page 2 of 2