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BLD2021-1491+Application+10.29.2021_2.38.37_PM+2472250CITY OF EDMONDS MyBuildingPermit.com Building Application #1032187 - Magnolia Lane Condo Dryrot Applicant First Name Last Name Company Name Benjamin James CG Engineering Number Street Apartment or Suite Number E-mail Address 250 4th Ave South Suite 200 benj@cgengineerinq.com City State Zip Phone Number Extension Edmonds WA 98020 4257788500 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date UBI # Number Street 8507 BOWDOIN WAY City Zip Code County Parcel Number EDMONDS 98026 01041900000300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Phone Number Extension E-mail Address Floor Number Suite or Room Number 1 3 First Name Last Name or Company Name Gary & Joanne M Mallett Number Street Apartment or Suite Number 8507 BOWDOIN WAY 3 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: 10/29/2021 Submitted By: Benjamin James Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.cam Building Application #1032187 - Magnolia Lane Condo Dryrot Project Contact Company Name: CG Engineering Name: Benjamin James Email: benj@cgengineering.com Address: 250 4th Ave South Suite 200 Phone #: 4257788500 Edmonds WA 98020 Project Type Multifamily Residential Activity Type Remodel Project Name: Magnolia Lane Condo Dryrot Description of Work: Replace existing rotted framing. Project Details Primary Use Residential Condos Valuation Fair Market Value of Construction Work $5,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2