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BLD2020-1329+Application+12.4.2020_9.59.09_AMCITY OF EDMONDS nnyst,ilaingPermit.com Building Application #893183 - Swimming Pool Demo Applicant First Name Last Name Company Name George Peppin Number Street Apartment or Suite Number E-mail Address 8615 193rd PL SW q-peppin(.@_hotmail.com City State Zip Phone Number Extension Edmonds WA 98026 4257445624 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 8615 193RD PL SW City Zip Code County Parcel Number EDMONDS 98026 00614600000400 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name George & Nanette Peppin Number Street Apartment or Suite Number 8615 193RD PL SW City State Zip EDMONDS WA 98026 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: 12/4/2020 Submitted By: George Peppin Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #893183 - Swimming Pool Demo Project Contact Company Name: Name: Address: George Peppin 8615 193rd PL SW Edmonds WA 98026 Project Type Single Family Residential Email: g-peppin@hotmail.com Phone #: 4257445624 Activity Type Scope of Work Demolition Accessory Building Project Name: Swimming Pool Demo Remove current 1300 swimming pool. Drain into existing sewer Demo pool and surrounding Description of concrete slab, breaking slab into 46" pieces remove current stone work around pool and tile Work: and dispose. Compact area - flatten area fill with top soil. No change to grade in the area, 6" gravel fill around existing house foundation Natural landscaping j Project Details Demolition Information Number of dwelling units to be demolished 1 Number of structures to be demolished. 1 Square feet to be demolished. 390 The year the structure was built. 1980 Page 2 of 2