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BLD2020-1174+Application+10.30.2020_12.04.02_PMCITY OF EDMONDS MyBuildingPermit.com Building Application #879436 - 8805 220th St. SW. demo Applicant First Name Last Name Company Name Kayla Nichols Select Homes, Inc. Number Street Apartment or Suite Number E-mail Address 16531 13th Ave W Ste. A107 kayla.clark(D_outlook.com City State Zip Phone Number Extension Lynnwood WA 98037 4257426044 Contractor Company Name Select homes inc Number Street Apartment or Suite Number 16531 13th ave w A 107 City State Zip Phone Number Extension Lynnwood WA 98037 (425) 742-6044 State License Number License Expiration Date UBI # E-mail Address SELECH1110KN 1/2/2021 601148280 kayla.clark(c_outlook.com Project Location Number Street Floor Number Suite or Room Number 8805 220TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27043000201100 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 Select Homes, Inc. Number Street Apartment or Suite Number 16531 13th Ave W Suite A107 City State Zip Lynnwood WA 98037 Certification Statement - The applicant states: I 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. I 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: 10/30/2020 Submitted By: Kayla Nichols Page 1 of 2 i o CITY OF EDMONDS MyBuildingPerrnit.cm „c. Building Application #879436 - 8805 220th St. SW. demo Project Contact Company Name: Select Homes, Inc. Name: Kayla Nichols Email: kayla.clark@outlook.com Address: 16531 13th Ave W Ste. A107 Phone #: 4257426044 Lynnwood WA 98037 Project Type Single Family Residential Activity Type Scope of Work Demolition Primary Residence Project Name: 8805 220th St. SW. demo Description of Work: Demo of SFR Project Details Demolition Information Number of dwelling units to be demolished 1 Number of structures to be demolished. 1 Square feet to be demolished. 2,200 The year the structure was built. 1956 This property is part of a current or future short plat or lot line adjustment. Page 2 of 2