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BLD2021-0241+Application+2.11.2021_10.08.56_AM+2033749CITY OF EDMONDS Building Application #919155 - Garage Applicant First Name Last Name Jon McCormick Number Street Apartment or Suite Number 9792 Edmonds Way 222 City State Zip Edmonds WA 98020 Contractor Company Name Owner Number Street City State License Number Project Location Number Street 1011 B AVE City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 00619400301002 Tenant Name vacant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuitdingPermit.com Company Name E-mail Address ipeg41 @gmail.com Phone Number Extension 2066121001 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number Garaqe none First Name Last Name or Company Name Jonathan K & Peggy G Mccormick Number Street Apartment or Suite Number 9792 EDMONDS WAY 222 City State Zip Edmonds Washinqton 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: 2/11/2021 Submitted By: Jon McCormick Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #919155 - Garage Project Contact Company Name: Name: Jon McCormick Email: jpeg4l@gmail.com Address: 9792 Edmonds Way 222 Phone #: 2066121001 Edmonds WA 98020 Project Type Activity Type Mixed Use New Construction Project Name: Garage Description of Work: Construction of garage Project Details Scope of Work Primary Building Project Information IBC Occupancy type Garage Construction Type Not Applicable Page 2 of 2