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BLD2021-0005+Application+1.4.2021_10.47.06_AM+1971594CITY OF EDMONDS MyBuildingPermit.com Building Application #902510 - Auto gate Applicant First Name Last Name Company Name Andrea Becker Studio AB Number Street Apartment or Suite Number E-mail Address 10110 Dayton Ave N andrea(@_designstudioab.com City State Zip Phone Number Extension Seattle WA 98133 206-271-9489 Contractor Company Name AUTOMATED EQUIPMENT CO INC Number Street Apartment or Suite Number 10847 E Marginal WV S City State Zip Phone Number Extension Seattle WA 98168 206-767-9080 State License Number License Expiration Date UBI # E-mail Address AUTOMECO33RD 4/2/2021 601111142 mirand a(a-)_aegates.corn Project Location Number Street Floor Number Suite or Room Number 20002 MAPLEWOOD DR City Zip Code County Parcel Number EDMONDS 98026 00506700001600 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 Kristin\ Geoffrey Grosenbach Number Street Apartment or Suite Number 2400 NW 80TH ST City State Zip SEATTLE WA 98117 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: 1/4/2021 Submitted By: Andrea Becker Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #902510 - Auto gate Project Contact Company Name: Studio AB Name: Andrea Becker Email: andrea@designstudioab.com Address: 10110 Dayton Ave N Phone #: 206-271-9489 Seattle WA 98133 Project Type Single Family Residential Activity Type New Construction Project Name: Auto gate Description of Work: Install new electric powered auto gate per plan in front yard Project Details Structure Type Fence Scope of Work Fence Page 2 of 2