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BLD2021-0976+Application+7.14.2021_3.52.26_PM+2300919CITY OF EDMONDS MyBuildingPermit.com Building Application #991257 - SOS19-0960 Copperfield Applicant First Name Last Name Company Name Ian Johnson ServiceMaster of Seattle Number Street Apartment or Suite Number E-mail Address 15000 Woodinville -Redmond Rd Ne Suite B600 iiohnson(cD_soseattle.com City State Zip Phone Number Extension Woodinville WA 98072 (425)363-3054 Contractor Company Name SERVICEMASTER OF SEATTLE Number Street Apartment or Suite Number 15000 Woodinville -Redmond Rd NE Suite b600 City State Zip Phone Number Extension Woodinville WA 98072 (425) 637-9770 State License Number License Expiration Date UBI # E-mail Address SERVIMS9441_9 2/11/2023 600579672 iiohnson@soseattle.com Project Location Number Street Floor Number Suite or Room Number 7821 196TH ST SW 2 B City Zip Code County Parcel Number EDMONDS 98026 00731282100200 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Geoffrey K Chadd Number Street Apartment or Suite Number 7821 196TH ST SW B 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: 7/14/2021 Submitted By: Ian Johnson Page 1 of 2 CITY OF EDMONDS MYBuildingPerrnit.com Building Application #991257 - SOS19-0960 Copperfield Project Contact Company Name: ServiceMaster of Seattle Name: Ian Johnson Email: ijohnson@soseattle.com Address: 15000 Woodinville -Redmond Rd Ne Suite Phone #: (425)363-3054 B600 Woodinville WA 98072 Project Type Activity Type Scope of Work Multifamily Residential New Construction Primary Building Project Name: SOS19-0960 Copperfield Description of Work: Master bedroom work to Replace window, drywall, insulation and paint due to smoke damage from contents fire. Project Details Project Information IBC Occupancy type xx Construction Type VB Page 2 of 2