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BLD2020-1171+Application+10.30.2020_8.41.40_AMCITY OF EDMONDS Sign Application #879227 - Aluminum Pergola Applicant First Name Last Name Pedro Germano Number Street Apartment or Suite Numb 101 Main Street City State Zip Edmonds WA 98020 Contractor Company Name SEATTLE SHADE & AWNING Number Street 11404 236RD DR SE City State Zip EVERETT WA 98208 State License Number License Expiration Date UBI # Project Location Number Street 101 MAIN ST City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name Demetris Woodstone Taverna E-mail Address Pedro a@kafeneo.net Phone Number Extension 2067394279 Apartment or Suite Number Phone Number Extension 2068506520 E-mail Address Floor Number Suite or Room Number 1 County Parcel Number 27032300105800 Tenant Name Demetris Woodstone Taverna First Name Last Name or Company Name Sofeea Huffman KAFE NEO-ALDERWOOD LLC Number Street Apartment or Suite Number 101 MAIN ST 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: 10/30/2020 Submitted By: Pedro Germano Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #879227 - Aluminum Pergola Project Contact Company Name: Seattle Shade and Awning Name: Robert Holt Email: seattleshadeandawning@gmail.com Address: 11404 23rd Dr SE Phone #: 2068506520 Everett WA 98208 Project Type Activity Type Scope of Work Nonresidential Permanent Sign Wall or Building Project Name: Aluminum Pergola Description of Work: Attached Project Details Sign 1 Type Building Mounted Page 2 of 2