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FIR2020-0086_City_Application_10.19.2020_12.56.09_PMvAC)L"4-Ll "# Z- BUILDING PERMIT '~ APPLICATIC.N tin. DNYelopmen: S—i-s 1OE1..g Di.t n 121 S1h Ave N / Edmonds. WA 95020 /p i, tFpO 425.771.02".1 ActessorY Structure/ rw nw.Mo. n..�.dr..nal,MYwrf./f b: www.aM,wd.wr cay. r opp'Y7«Prcmc,. ,rnndwr MgMtlM4MMtteJPArercn men JOB SITE INFORMATION/LOCATION: IWMw the wwk b taWry pLw4 Job Sde Address: Z33Z�i 7Sk e�J9� w% . P—N: lot/UNt/SWte 4: Z- SubdiYW-. SUSIPM OR PROPERTY OWNER: Name: A Do W, t' JEsk:I T3.JLo lut_ MaiknEAdaese: 1231'�J /•lit Lt,4jdt E... ckv/wtNaP: S4a CTL_ - WA. 4 c3- I ZS PAonfP: IUL4PALQQk X,(L 1 0- (Ow>tL•Ldsq Email: 7.C(e g14c1 ql }JA OWNERINSTALLAMR: aRYe nod"slen- �. WA work be pedormed ev the pop" OwT1P ?Qv ms' I own, reside in, a will —cle In the t V W d SIrYCtae. InstaW oan n.,.. made on property Mat I own which N not Intended t« sale, le»e, nmt, or Mhanp aa«d.nB to RCW 1&27.090. Olwsa sww —: APPUCANE / erve CONTACTT, N-W',O-IIA"4T�ION' n NW Appk t: M� �sLW G,,%y ...*Ad&.: ZiA(s IV" --L u .) CRv(wwm: 5*aC/ t xE�O, w A 5 829Z Ph— M. 3(OO b(SsL Sl3Cv E-m.E: LA'Kt.aYY10 aC.W N.ILC I:BTWAIL.Lt7Ll( 4ENER" CnNMAcTOR: Of dNNr.d Ro)m BPpReM) GMnrN Cgnoattor: �. Ci.J4b Ci s Y.( MWnSAtldrcss Z�IS (CIS ILV OwAutyllp: J*+aaJWwn 0.Y1 90z9'Z Phan A: 3(.0 (�52 SI�Gi E-0: ..1 to Fl. rl. STATE URIk fool 1)41 LCZ4O OTv CNWMONDSRWMWUCDUEt.% 1+1 (V VIA STATE CONTRACTOR L A I P: (CCR1 A EXPIRATION OATS: LAU&- T-o 1T Jet r'] Oetathed Cwye Lj A6MIon I j 0-moRNon MfcW..l t] t. nY $IV. F.mwmlow ► .*ft ® Fke Sprk*l. Remodel ❑ New Cpmmerelal/MwedUse O UAW yLny 13 Tank ❑ Tenant Improvement ❑ DMfr Rfine"►-11f--bR derC 'ne .on.a of on wr of w«t :.d'e+�se. Mbc«e me WA.a Irovndee ro ,�f rypyn v a a wok evbmenl, mp- o lee}, o+edVee. and mo ouM •« ma Iwcorw ppJCob . va wllon: BeerrNM se R 7rW Hour, se R: pecs/Ce,f•ed Porcnryetn: F YI NEw BMreoms. adNEW500— t�-o ;:4.. SI pals51de_l Z? iYRrrDS <ereN wN ae .na.neem n n... rewE.e a w n.ay.P>wano-� :, m.r. <> Klwmwelr�w..w axl..wl.es«svowra oh ncnwwe r.nm.a.Pen o.n.w.w,.ra Pnws.xecwlP�re w. tcrw Pnm NNne: Ar.lO u4e- swew.: