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BLD2023-1125+Application+9.6.2023_8.47.30_PM+3766954CITY OF EDMOill MyBuildingPermit.com IF Building Application #1372359 - Kiewicz-Brooks Residence Applicant First Name Last Name Company Name Johnny Struiksma Alderwood Landscapinq Number Street Apartment or Suite Number E-mail Address 3055 112th Ave NE Suite 102 johnny(�'Dalderwoodlandscapinq.com City State Zip Phone Number Extension Bellevue WA 98004 (425) 308-8438 Contractor Company Name ALDERWOOD LANDSCAPING INC Number Street Apartment or Suite Number 9708 N Nevada St City State Zip Phone Number Extension SPOKANE WA 99218 (509) 467-8298 State License Number License Expiration Date UBI # E-mail Address ALDERL111ONJ 11/14/2024 601181492 johnny(cD_alderwoodlandscapinq.com Project Location Number Street Floor Number Suite or Room Number 9309 OLYMPIC VIEW DR City Zip Code County Parcel Number EDMONDS 98020 27031300102200 Associated Building Permit Number Tenant Name CRA2023-0083 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Jeanne Dubois Kiewicz-Brooks Number Street Apartment or Suite Number 9309 OLYMPIC VIEW DR City State Zip EDMONDS WA 98020 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: 9/6/2023 Submitted By: Johnny Struiksma Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1372359 - Kiewicz-Brooks Residence Project Contact Company Alderwood Name: Landscaping Name: Bryan Navarro Email: bryannavarro@alderwoodlandscaping.com Address: 3055 112th Ave NE Phone #: (425) 753-9797 Suite 102 Bellevue WA 98004 Project Type Single Family Residential Activity Type New Construction Scope of Work Retaining Wall Project Name: Kiewicz-Brooks Residence Description of Work: Backyard landscaping to include patio, retaining wall, water feature, and hot tub. Project Details Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Contact Information Owner Email Address Backyard landscaping to include patio, retaining wall, water feature, and hot tub. jeanniekbrooks@gmail.com Page 2 of 2