BLD2021-0091+Application+1.25.2021_10.45.40_AM+2006886CITY OF EDMONDS
Building Application #912846 - New fence
Applicant
First Name Last Name
Select Homes Select Homes
Number Street Apartment or Suite Number
16531 13th Ave W Ste. A107
City State
Zip
Lynnwood WA
98037
Contractor
Company Name
Select homes inc
Number Street
16531 13th ave w
City
State Zip
Lynnwood
WA 98037
State License Number
License Expiration Date UBI #
SELECH1110KN
1/2/2023 601148280
Project Location
Number Street
21228 82ND PL W
MyBuildingPermit.com
Company Name
Select Homes, Inc.
E-mail Address
kayla.clark(D_outlook.com
Phone Number Extension
4257426044
Apartment or Suite Number
A 107
Phone Number Extension
(425) 742-6044
E-mail Address
kayla.clark(cb_outlook.com
City Zip Code County Parcel Number
EDMONDS 98026 00467400000600
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Floor Number Suite or Room Number
First Name Last Name or Company Name
RANDY N & JUDY L CLARK FAMILY PARTNERSHIP
Number Street Apartment or Suite Number
16531 13TH AVE W All07
City State Zip
LYNNWOOD WA 98037
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: 1/25/2021 Submitted By: Select Homes Select Homes
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #912846 - New fence
Project Contact
Company Name: Select Homes, Inc.
Name: Kayla Nichols Email: kayla.clark@outlook.com
Address: 16531 13th Ave W Ste. A107 Phone #: 4257426044
Lynnwood WA 98037
Project Type
Single Family Residential
Activity Type
New Construction
Project Name: New fence
Description of Work: New fence along west and north property lines
Project Details
Structure Type
Fence
Scope of Work
Fence
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