ENG2022-0038+Application+2.2.2022_9.10.53_AM+2656252CITY OF EDMONDS MyBuildingPermit.com
IF
Right -of -Way Application #1082564 - Anthology Senior Living
Applicant
First Name Last Name Company Name
Mike Parker CADB CATALYST CNSTRCTN GRP LLC
Number Street Apartment or Suite Number E-mail Address
130 E Randolph St 201 mparker(aD_catalystconstructiongrp.com
City State Zip Phone Number Extension
Chicaqo IL 60601 13127672531
Contractor
Company Name
CADB CATALYST CNSTRCTN GRP LLC
Number Street Apartment or Suite Number
130 E RANDOLPH ST, SUITE 2100
City State Zip Phone Number Extension
CHICAGO IL 60601 3127672531
State License Number License Expiration Date UBI # E-mail Address
CADBCCC801 PR 10/28/2022 604519175 mparker(cD_catalystconstructiongrp.com
Project Location
Number Street
21200 72ND AVE W
City Zip Code
EDMONDS 98026
Associated Building Permit Number
BLD2021-0088
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
County Parcel Number
00580700000401
Tenant Name
Anthology
Last Name or Company Name
JAS GROUP LLC
Floor Number Suite or Room Number
Number Street Apartment or Suite Number
154 LAKE WASHINGTON BLVD E
City State Zip
SEATTLE WA 98112
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: 2/2/2022 Submitted By: Mike Parker
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CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1082564 - Anthology Senior Living
Project Contact
Company CADB CATALYST
Name: CNSTRCTN GRP LLC
Name: Alex Kushner Email: akushner@catalystconstructiongrp.com
Address: 130 E Randolph St 201 Phone #: (206)900-2395
Chicago IL 60601
Project Type Activity Type Scope of Work
Nonresidential New Excavation and Utility Work
Project Name: Anthology Senior Living
Description of Work: Frontage improvements & utility work associated with the Anthology Senior Living
Project
Project Details
Project Information
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 five or less significant trees to be removed
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