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BLD2021-0764+Application+6.3.2021_10.10.42_AM+2221202CITY OF EDMONDS Building Application #969749 - Roberts Applicant First Name Last Name Crystle Bellows Number Street Apartment or Suite Number 17455 68th ave ne 101 City State Zip Kemore WA 98028 Contractor Company Name ALL DECKS & DOORS INC Number Street 6454 NE 154TH ST City State Zip KENMORE WA 98028 State License Number License Expiration Date UBI # ALLDEDD860DU 4/2/2022 603383689 Project Location Number Street 9017 240TH ST SW City Zip Code County Parcel Number EDMONDS 98026 01008700000200 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.corn Company Name All Decks, Inc. E-mail Address info(a_alldecks.com Phone Number Extension 2069195916 Apartment or Suite Number Phone Number Extension 2063076717 E-mail Address info@alldecks.com Floor Number Suite or Room Number First Name Last Name or Company Name Cliff & Loren Roberts Number Street Apartment or Suite Number 428 NW 117TH ST City State Zip SEATTLE WA 98177 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: 6/3/2021 Submitted By: Crystle Bellows Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #969749 - Roberts Project Contact Company Name: All Decks, Inc. Name: Crystle Bellows Email: info@alldecks.com Address: 17455 68th ave ne 101 Phone #: 2069195916 Kemore WA 98028 Project Type Single Family Residential Activity Type Deck or Porch Project Name: Roberts Description of Work: rebuild deck and add poly carbonate roof cover Project Details Structure Type Deck Project Information Square Feet - Deck 432 Page 2 of 2