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BLD2021-0412+Application+3.22.2021_10.43.02_AM+2104326CITY OF EDMONDS Building Application #938309 - new fence Applicant First Name Last Name Petr Stepanchenko Number Street Apartment or Suite Number 8819 152nd.st.se City State Zip Snohomish WA 98296 Contractor Company Name Owner Number Street City State License Number Project Location State Zip License Expiration Date UBI # MyBuildingPermit.com Company Name E-mail Address Peter step(D_comcast.net Phone Number Extension 4254226339 Apartment or Suite Number Phone Number Extension E-mail Address Number Street Floor Number Suite or Room Number 17707 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00513600002000 Associated Building Permit Number Tenant Name BLD2020-0964 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name P & T & Stepanchenko A & V Stepanchenko Number Street Apartment or Suite Number 17707 76TH AVE W 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: 3/22/2021 Submitted By: Petr Stepanchenko Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #938309 - new fence Project Contact Company Name: Name: Petr Stepanchenko Address: 8819 152nd.st.se Snohomish WA 98296 Project Type Single Family Residential Email: peter—Step@comcast.net Phone #: 4254226339 Activity Type New Construction Project Name: new fence Description of Work: build new fence along west and east side of the property Project Details Structure Type Fence Scope of Work Fence Page 2 of 2