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BLD2020-0935+Application+9.8.2020_3.10.32_PMCITY OF EDMONDS Building Application #853480 - Fence Permit Applicant First Name Last Name Michael Dolan Number Street Apartment or Suite Ni 515 Homeland Dr City State Zip Edmonds WA 98020 Contractor Company Name Owner Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 515 HOMELAND DR City Zip Code County Parcel Number EDMONDS 98020 00477300001800 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name E-mail Address mwdmkd(&_gmail.com Phone Number Extension 2539058942 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Michael W & Mary K Dolan Number Street Apartment or Suite Number 515 HOMELAND DR City State Zip EDMONDS WA 98020 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: 9/8/2020 Submitted By: Michael Dolan Page 1 of 2 CITY OF EDMONDS Building Application #853480 - Fence Permit Project Contact Company Name: Name: Michael Dolan Email: mwdmkd@gmail.com Address: 515 Homeland Dr Phone #: 2539058942 Edmonds WA 98020 Project Type Single Family Residential i MyBuildingPermit.com ...,.,I,,.,�1 Activity Type Scope of Work None Fence Project Name: Fence Permit Description of Work: Install a 6' high x 38' long fence along the middle portion of my west property line. Project Details Structure Type Fence Page 2 of 2