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BLD2021-1283+Application+9.15.2021_12.50.44_PM+2410338 (2)CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1020123 - 705 Fir St Fence Applicant First Name Last Name Company Name Select Homes Select Homes Select Homes, Inc. Number Street Apartment or Suite Number E-mail Address 8304 212th St SW kayla.clark(D_outlook.com City State Zip Phone Number Extension Edmonds WA 98026 4257426044 Contractor Company Name Select homes inc Number Street Apartment or Suite Number 8304 212th St SW City State Zip Phone Number Extension Edmonds WA 98026 (425) 742-6044 State License Number License Expiration Date UBI # E-mail Address SELECH1110KN 1/2/2023 601148280 kayla.clark(c_outlook.com Project Location Number Street Floor Number Suite or Room Number 1055 7TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00619400400600 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 SELECT HOMES INC Number Street Apartment or Suite Number 8304 212th 212th St SW City State Zip Edmonds Washinqton 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: 9/15/2021 Submitted By: Select Homes Select Homes Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1020123 - 705 Fir St Fence Project Contact Company Name: Select Homes, Inc. Name: Kayla Nichols Email: kayla.clark@outlook.com Address: 8304 212th St SW Phone #: 4257426044 Edmonds WA 98026 Project Type Single Family Residential Activity Type New Construction Scope of Work Fence Project Name: 705 Fir St Fence Description of Work: New 5' cedar fence along 7th Ave S and Fir St for 705 Fir St. (MBP did not recognize this address, so I used original address - 1055 7th Ave S) Project Details Work Location Work Description/Location (example: 1 st floor, Along 7th Ave S and Fir St Master Bath, Garage) Page 2 of 2