BLD2021-0200+Application+2.3.2021_4.03.27_PM+2031785CITY OF EDMONDS M BtaildingPermit.com
Building Application #918420 - Replace and expand backyard concrete patio
Applicant
First Name Last Name Company Name
Rose Drew
Number Street Apartment or Suite Number E-mail Address
810 12 ave In Iizzyd3WD_yahoo.com
City State Zip Phone Number Extension
Edmonds WA 98020 2063109091
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
810 12TH AVE N
City Zip Code County Parcel Number
EDMONDS 98020 00507000000200
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
RED ORCA LLC
Number Street Apartment or Suite Number
810 12TH AVE N
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: 2/3/2021 Submitted By: Rose Drew
Page 1 of 2
i
CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #918420 - Replace and expand backyard concrete patio
Project Contact
Company Name:
Name:
Address:
Rose Drew
81012aven
Edmonds WA 98020
Project Type
Single Family Residential
Email: lizzyd30@yahoo.com
Phone #: 2063109091
Activity Type
Deck or Porch
Project Name: Replace and expand backyard concrete patio
Description of Work: Remove current -180 sq ft patio and replace with new --430 sq ft concrete patio
Project Details
Structure Type
Deck
Project Information
Square Feet - Deck 432
Page 2 of 2