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BLD2021-0902+Application+6.29.2021_10.58.52_AM+2274278CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #984206 - Purser short plat Lot 1 Applicant First Name Last Name Company Name Robert Purser Purser Development Services LLC Number Street Apartment or Suite Number E-mail Address 520 3rd Ave N rob. purser(D_gmail.com City State Zip Phone Number Extension Edmonds WA 98020 4255310923 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location Number Street 735 15TH ST SW City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 00390000001100 Tenant Name vacant 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 1 none First Name Last Name or Company Name Robert Purser Development Services LLC Number Street Apartment or Suite Number 520 3rd 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: 6/29/2021 Submitted By: Robert Purser Page 1 of 2 i o CITY OF EDMONDS MyBuildingPerrnit.cm „c Building Application #984206 - Purser short plat Lot 1 Project Contact Company Name: Purser Development Services LLC Name: Robert Purser Email: rob.purser@gmail.com Address: 520 3rd Ave N Phone #: 4255310923 Edmonds WA 98020 Project Type Nonresidential Activity Type New Construction Project Name: Purser short plat Lot 1 Description of Work: fence Project Details Structure Type Fence Scope of Work Fence Page 2 of 2