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BLD2021-1064+Application+8.1.2021_9.42.20_PM+2332731CITY OF EDMONDS Building Application #999497 - 925 Edmonds Applicant First Name Last Name James Ma Number Street Apartment or Suite Nu 17191 Bothell Way NE Ste B104 City State Zip Lake Forest Park WA 98155 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location MyBuildingPermit.com Company Name Yen Design, Inc. or E-mail Address james(cD-Yendes.com Phone Number Extension (206) 432-1111 Apartment or Suite Number Phone Number Extension E-mail Address Number Street Floor Number Suite or Room Number 925 WALNUT ST City Zip Code County Parcel Number EDMONDS 98020 00434207103100 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Bruce D Ballard Number Street Apartment or Suite Number 925 WALNUT ST City State Zip EDMONDS WA 98020-3335 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: 8/1/2021 Submitted By: James Ma Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #999497 - 925 Edmonds Project Contact Company Name: Yen Design, Inc. Name: James Ma Email: james@yendes.com Address: 17191 Bothell Way NE Ste B104 Phone #: (206) 432-1111 Lake Forest Park WA 98155 Project Type Single Family Residential Activity Type Deck or Porch Project Name: 925 Edmonds Description of Work: Demolish existing deck and construct 480 sf new deck, per plan. No work to the interior of the house. Project Details Structure Type Deck Project Information Square Feet - Deck 480 Page 2 of 2