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BLD2021-0927+Application+7.1.2021_5.49.45_PM+2280672CITY OF EDMONDS Building Application #985796 - Split Rail Fence Applicant First Name Last Name James Weis Number Street Apartment or Suite Number 16630 74th PI W City State Zip Edmonds WA 98026 Contractor Company Name Owner Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 16630 74TH PL W City Zip Code County Parcel Number EDMONDS 98026 00513100009500 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBoildingPermit.com Company Name E-mail Address edmonds(�D_iamesweis.com Phone Number Extension 2033131313 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name James J & Camille Weis Number Street Apartment or Suite Number 16630 74TH PL W City State Zip EDMONDS WA 98026-5116 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: 7/1/2021 Submitted By: James Weis Page 1 of 2 CITY OF EDMONDS Building Application #985796 - Split Rail Fence Project Contact i MyBuildingPermit.com ...,.,I,,.,�1 Company Name: Name: James Weis Email: edmonds@jamesweis.com Address: 16630 74th PI W Phone #: 2033131313 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential None Fence Project Name: Split Rail Fence Description of Work: Install 4 foot high split rail fence for safety purposes along retaining wall at southeast corner of property- location is highlighted on red on site plan Project Details Structure Type Fence Page 2 of 2