BLD2021-0747+Application+6.1.2021_3.43.24_PM+2226400CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #971106 - Driessen Residence
Applicant
First Name Last Name Company Name
Jed Miller CASA Architecture
Number Street Apartment or Suite Number E-mail Address
17281 13th Ave NW ]miller@casa-arch.com
City State Zip Phone Number Extension
Shoreline WA 98177 2065338733
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
9229 OLYMPIC VIEW DR
City Zip Code County Parcel Number
EDMONDS 98020 27031300101500
Associated Building Permit Number Tenant Name
BLD2019-1321
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
First Name Last Name or Company Name
Peter Driessen
Number Street Apartment or Suite Number
2610 164TH ST SW A434
City State Zip
LYNNWOOD WA 98087
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: 6/1/2021 Submitted By: Jed Miller
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #971106 - Driessen Residence
Project Contact
Company Name: CASA Architecture
Name: Jed Miller Email: jmiller@casa-arch.com
Address: 17281 13th Ave NW Phone #: 2065338733
Shoreline WA 98177
Project Type
Single Family Residential
Activity Type
New Construction
Scope of Work
Fence
Project Name: Driessen Residence
Description of Work: To construct a wood fence 6 feet high and 188'-6" long in the right of way adjacent
to the Driessen Residence
Project Details
Structure Type
Fence
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