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BLD2021-0244+Application+2.11.2021_12.52.23_PM+2043819CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #921700 - City of Edmond's Fishing Pier Repair Applicant First Name Last Name Company Name Bridqette Glass WDFW Number Street Apartment or Suite Number E-mail Address 600 Capitol Way N bridgette.glass@dfw.wa.gov City State Zip Phone Number Extension Olympia WA 98501 3607903036 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date Number Street 200 ADMIRAL WAY City EDMONDS Associated Building Permit Number Phone Number Extension UBI # E-mail Address Zip Code County Parcel Number 98020 27032300415300 Tenant Name WDFW Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number 1 None First Name Last Name or Company Name EDMONDS CITY OF Number Street Apartment or Suite Number 250 5TH AVE N City State Zip EDMONDS WA 98020-3146 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: 2/11/2021 Submitted By: Bridgette Glass Page 1 of 2 CITY OF EDMONDS M BuildingPerrntt.com Building Application #921700 - City of Edmond's Fishing Pier Repair Project Contact Company Name: WDFW Name: Bridgette Glass Email: bridgette.glass@dfw.wa.gov Address: 600 Capitol Way N Phone #: 3607903036 Olympia WA 98501 Project Type Nonresidential Activity Type Remodel Project Name: City of Edmond's Fishing Pier Repair Description of Maintenance of pier through installation of fiberglass panels on the underside of pier to Work: seal the cracks. An articulated personnel lift will likely be used to put the workers in position to affix the panels. Project Details Project Information Square Feet -Tenant 785 Valuation Fair Market Value of Construction Work $45,000 Exterior Changes? The work involves changes to the exterior Page 2 of 2