ENG2023-0097+Application+2.21.2023_2.18.51_PM+3380637CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1272034 - Haider Residence
Applicant
First Name Last Name Company Name
Alexandra Immel Alexandra Immel Residential Desiqn LLC
Number Street Apartment or Suite Number E-mail Address
3439 NW 62nd St aexandra(cD_alexandraimmeldesign.com
City State Zip Phone Number Extension
Seattle WA 98107 (206) 276-5761
Contractor
Company Name
Haider Construction
Number Street
Apartment or Suite Number
5607 244th St. SW
City State Zip
Phone Number Extension
Mountlake Terrace WA 98043
4257713515
State License Number License Expiration Date
UBI #
E-mail Address
HAIDEC*914DB 4/7/2023
602903374
ron(aD_haiderconstruction.com
Project Location
Number Street
Floor Number Suite or Room Number
915 BROOKMERE ST
City Zip Code
County Parcel Number
EDMONDS 98020
00548900000302
Associated Building Permit Number
Tenant Name
BLD2022-1324
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Ronald N\maureen A Haider
Number Street Apartment or Suite Number
5110 194TH ST SW
City State Zip
LYNNWOOD WA 98036
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: 2/21/2023 Submitted By: Alexandra Immel
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CITY OF EDMONDS MyBuildingPermit.com
Utilities Application #1272034 - Haider Residence
Project Contact
Company Alexandra Immel
Name: Residential Design LLC
Name: Alexandra Immel Email: alexandra@alexandraimmeldesign.com
Address: 3439 NW 62nd St Phone #: (206) 276-5761
Seattle WA 98107
Project Type Activity Type Scope of Work
Single Family Residential New Side Sewer Connection
Project Name: Haider Residence
Description of Work: Addition to single family residence
Project Details
Structure Type
Single Family Dwelling
Project Information
Connection to City sewer service
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