BLD2020-1063+Application+10.7.2020_5.23.54_PMCITY OF EDMONDS
Building Application #869411 - Fence Repair
Applicant
First Name
Last Name
Jacquelyn
Johnson
Number
Street Apartment or Suite Number
550
DAYTON 102
City
State Zip
EDMONDS
WA 98020
Contractor
Company Name
TOWN & COUNTRY FENCE INC
Number
Street
6410 212TH SW
City
LYNNWOOD
State License Number
TOWNCF*344L7
Project Location
Number Street
550 DAYTON ST
City
EDMONDS
Associated Building Permit Number
MyBuildingPermit.com
Company Name
E-mail Address
iiohn98365(D_gmail.com
Phone Number Extension
4256781906
Apartment or Suite Number
State Zip Phone Number Extension
WA 98036 4257750531
License Expiration Date UBI # E-mail Address
3/6/2022 319009081 iiohn98365(c_gmail.com
Floor Number Suite or Room Number
1 102
Zip Code County Parcel Number
98020 01024600010200
Tenant Name
Jacquelyn Johnson
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Georqe M & Jacquelyn M Johnson
Number Street Apartment or Suite Number
550 DAYTON ST 102
City State Zip
EDMONDS WA 98020-3629
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: 10/7/2020 Submitted By: Jacquelyn Johnson
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #869411 - Fence Repair
Project Contact
Company Name:
Name: Jacquelyn Johnson Email: jjohn98365@gmail.com
Address: 550 Dayton Street #102 Phone #: 4256781906
EDMONDS WA 98020
Project Type Activity Type
Nonresidential New Construction
Project Name: Fence Repair
Description of Work: replace damaged existing fence
Project Details
Structure Type
Fence
Scope of Work
Fence
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