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BLD2021-0729+Application+5.27.2021_11.31.34_AM+2220447CITY OF EDMONDS MyBuilaingPermit.com Building Application #969578 - Carport wall construction Applicant First Name Last Name Company Name Raymond Bachmann Number Street Apartment or Suite Number E-mail Address 10508 Alan A Dale Place raybachman n755(aD_yahoo.com City State Zip Phone Number Extension Edmonds WA 98020 2068017787 Contractor Company Name Owner Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 10508 ALAN-A-DALE PL City Zip Code County Parcel Number EDMONDS 98026 00571300300900 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 Raymond R & Catherine J Bachmann Number Street Apartment or Suite Number 10508 ALAN-A-DALE PL 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: 5/27/2021 Submitted By: Raymond Bachmann Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #969578 - Carport wall construction Project Contact Company Name: Name: Raymond Bachmann Email: raybachmann755@yahoo.com Address: 10508 Alan A Dale Place Phone #: 2068017787 Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential New Construction Accessory Building Project Name: Carport wall construction Description of Work: Build a 12ft(length) x10(high) wall on north side of carport. Project Details Structure Type Accessory Structure Project Information Square Feet - Building 120 Mechanical Included? No mechanical work will occur during this project. Plumbing Included? No plumbing work will occur during this project. Page 2 of 2