BLD2021-0620+Application+5.1.2021_4.06.25_PM+2174720CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #957488 - Ainsley Lower Deck Modification
Applicant
First Name Last Name Company Name
Keith Ainsley
Number Street Apartment or Suite Number E-mail Address
7429 N. Meadowdale Road AinsleyK5320@GMail.com
City State Zip Phone Number Extension
Edmonds WA 98026 2069992370
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
7429 N MEADOWDALE RD
City Zip Code County Parcel Number
EDMONDS 98026 00513103000900
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
First Name Last Name or Company Name
Keith A & Pamela L Ainsley
Number Street Apartment or Suite Number
7429 N MEADOWDALE RD
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: 5/1/2021 Submitted By: Keith Ainsley
Page 1 of 2
CITY OF EDMONDS M BuildingPerrnit.cam
Building Application #957488 - Ainsley Lower Deck Modification
Project Contact
Company Name:
Name: Keith Ainsley Email: AinsleyK5320@GMail.com
Address: 7429 N. Meadowdale Road Phone #: 2069992370
Edmonds WA 98026
Project Type Activity Type
Single Family Residential Deck or Porch
Project Name: Ainsley Lower Deck Modification
Description of Work: Extending lower deck by 216 sf.
Project Details
Structure Type
Deck
Project Information
Square Feet - Deck 216
Page 2 of 2