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BLD2021-1481_Application_10.27.2021_5.09.45_PM_2487338RECEIVED BLD2021-1481 Oct 28 2021 CITY OF EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Building Application #1041351 - Hampton Place COA 5 Applicant First Name Last Name Milt Rye Company Name Ethan Home Repair & Remodeling Number Street 1202 300th St. NE Apartment or Suite Number E-mail Address milt@ethanhomerepair.com City State Zip Stanwood WA 98292-7203 Phone Number Extension 4252937913 Contractor Company Name ETHAN HOME RPR & RMLDNG LLC Number Street 1202 300th St. NE Apartment or Suite Number City State Zip Stanwood WA 98292 Phone Number Extension 4252937913 State License Number License Expiration Date ETHANHR934PB 10/2/2023 UBI # E-mail Address FD9797g1 B milt@ethanhomerepair.com Project Location Number Street 20632 76TH AVE W Floor Number Suite or Room Number Garage and entry 2 City Zip Code EDMONDS 98026 County Parcel Number 00784600000200 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Mark E Zielke Number Street PO BOX 3384 Apartment or Suite Number City State LYN N WOOD WA Zip 98046-3384 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: 10/27/2021 Submitted By: Milt Rye Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1041351 - Hampton Place COA 5 Project Contact Company Name: Ethan Home Repair & Remodeling Name: Milt Rye Email: milt@ethanhomerepair.com Address: 1202 300th St. NE Phone #: 4252937913 Stanwood WA 98292-7203 Project Type Multifamily Residential Activity Type Remodel Project Name: Hampton Place COA 5 Description of Work: Remove and replace compromised rotten entry stairs and affected garage wall Project Details Primary Use Residential Condos Valuation Fair Market Value of Construction Work $17,200 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2