BLD2021-0692+Application+5.19.2021_10.09.26_AM+2205259CITY OF EDMONDS MyBuildingPermit.com
Building Application #965626 - Vinbero Windows
Applicant
First Name
Last Name
Company Name
levi
masciotra
CENTERLINE HOMES LLC
Number Street
Apartment or Suite Number E-mail Address
po box 61
levi(�D_clhhomes.com
City State
Zip
Phone Number Extension
Mountlake Terrace WA
98043
4252317065
Contractor
Company Name
CENTERLINE HOMES LLC
Number Street
Apartment or Suite Number
PO Box 61
City
State Zip
Phone Number Extension
MOUNTLAKE
WA 98043
(425)231-7065
State License Number
License Expiration Date
UBI # F-mail Address
CENTEHL832KN
6/1 /2021
604114125 levi@clhhomes.com
Project Location
Number Street
Floor Number Suite or Room Number
203 5TH AVE S
1st Floor Suite 1
City
Zip Code
County Parcel Number
EDMONDS
98020
00434212103700
Associated Building Permit Number
Tenant Name
Vinbero
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Number Street
PO BOX 5003
Last Name or Company Name
R H OLD MILL TOWN ASSOC LLC
Apartment or Suite Number
City State Zip
BELLEVUE WA 98009
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: 5/19/2021 Submitted By: levi masciotra
Page 1 of 2
i
CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #965626 - Vinbero Windows
Project Contact
Company Name: Centerline Homes, LLC
Name: Levi Masciotra Email: levi@clhhomes.com
Address: Po Box 61 Phone #: 425-231-7065
Mountlake Terrace WA 98043
Project Type
Nonresidential
Activity Type
Remodel
Project Name: Vinbero Windows
Description of Work: Replacing 3 Windows at the store front, no framing will be required because we are
using windows that are the same size as existing.
Project Details
Project Information
Square Feet -Tenant 900
Valuation
Fair Market Value of Construction Work $10,500
Exterior Changes?
The work involves changes to the exterior
Page 2 of 2