BLD2021-0367+Application+3.12.2021_11.35.00_AM+2089143CITY OF EDMONDS MyBuildingPermit.com
Building Application #934089 - Ace Senior Care Home 2
Applicant
First Name Last Name Company Name
zena biru
Number
Street
Apartment or Suite Number E-mail Address
19615
88th Ave W
aceseniorcarehome(D_gmail.com
City
State
Zip
Phone Number Extension
Edmonds
WA
98026
2064050044
Contractor
Company Name
Owner
Number
Street
Apartment or Suite Number
City
State Zip
Phone Number Extension
State License Number
License Expiration Date
UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
19615 88TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00549200000602
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
Zena Biru
Number Street Apartment or Suite Number
19615 88th Avenue West
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: 3/12/2021 Submitted By: zena biru
Page 1 of 2
CITY OF EDMONDS M BuildingPerrnit.cam
Building Application #934089 - Ace Senior Care Home 2
Project Contact
Company Name:
Name:
Address:
zena biru
19615 88th Ave W
Edmonds WA 98026
Project Type
Single Family Residential
Email: aceseniorcarehome@gmail.com
Phone #: 2064050044
Activity Type
Adult Family Home Inspection Only
Project Name: Ace Senior Care Home 2
Description of Work: No remodeling work will be done.
Project Details
Single Family Additional Use
Adult Family Home
Page 2 of 2