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BLD2021-0531+Application+4.13.2021_10.33.47_AM+2142401CITY OF EDMONDS Building Application #948395 - New Fence Applicant First Name Last Name Rita Mohn Number Street Apartment or Suite Number 7025 182nd PI SW City State Zip Edmonds WA 98026 Contractor Company Name CITY WIDE FENCE CO INC Number Street 16923 48th Ave NW City State Zip Lynnwood WA 98037 State License Number License Expiration Date UBI # CITYWFC121 N9 10/4/2022 600643332 Project Location Number Street 7025 182ND PL SW MyBoildingPermit.com Company Name E-mail Address rcmohn(D_comcast. net Phone Number Extension 2064463984 Apartment or Suite Number Phone Number Extension (425) 745-8645 E-mail Address sales(cD_citywidefence.com City Zip Code County Parcel Number EDMONDS 98026 00499400000600 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name Christopher M & Rita S Mohn Number Street Apartment or Suite Number 7025 182ND PL SW City State Zip EDMONDS WA 98026 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: 4/13/2021 Submitted By: Rita Mohn Page 1 of 2 CITY OF EDMONDS MYBuildingPerrnit.com Building Application #948395 - New Fence Project Contact Company Name: Name: Address: Rita Mohn 7025 182nd PI SW Edmonds WA 98026 Email: rcmohn@comcast.net Phone #: 2064463984 Project Type Activity Type Scope of Work Single Family Residential Replacement Fence Project Name: New Fence Description of Work: We are replacing 2 sides of existing fence to our property line. Project Details Structure Type Fence Page 2 of 2