BLD2021-0202+Application+2.3.2021_9.45.29_PM+2032091CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #918679 - Wheelchair ramp
Applicant
First Name Last Name Company Name
fames tate
Number Street Apartment or Suite Number E-mail Address
23329 highway 99 anyandallpm(cD_gmail.com
City State Zip Phone Number Extension
edmonds WA 98026 3607209080
Contractor
Company Name
Owner
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
23329 99 HWY S
City Zip Code
EDMONDS 98026
Associated Building Permit Number
2020-0018
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number
UBI # E-mail Address
Floor Number
1
County Parcel Number
00576700002004
Tenant Name
Edmonds Smoke and Mini Mart
Apartment or Suite Number
Extension
Suite or Room Number
none2
First Name Last Name or Company Name
fames Tate
Number Street Apartment or Suite Number
23329 highway 99
City State Zip
edmonds WASHINGT 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: 2/3/2021 Submitted By: james tate
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #918679 - Wheelchair ramp
Project Contact
Company Name:
Name:
Address:
Michael Breuer
23329 highway 99
edmonds WA 98026
Email: anyandallpm@gmail.com
Phone #: 3607209080
Project Type Activity Type Scope of Work
Nonresidential New Construction Deck, Uncovered
Project Name: Wheelchair ramp
Description of Work: building wheel chair access ramp for main entrance of store.
Project Details
Structure Type
Deck
Project Information
Square Feet - Deck 236
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