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BLD2021-1721+Application+12.21.2021_5.38.11_PM+2587112CITY OF EDMONDS Building Application #1068000 - Barela Fence Applicant First Name Last Name Alonzo Barela Number Street Apartment or Suite Num 1109 B Ave South City State Zip Edmonds WA 98020 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 1109 B ST City Zip Code County Parcel Number EDMONDS 98020 00619401001002 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name E-mail Address alonzobarela(@_hotmail.com Phone Number Extension 2067189254 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Alonzo Barela Number Street Apartment or Suite Number 1109 B Ave South City State Zip Edmonds WASHINGT 98020 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: 12/21/2021 Submitted By: Alonzo Barela Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1068000 - Barela Fence Project Contact Company Name: Name: Address: Alonzo Barela 1109 B Ave South Edmonds WA 98020 Project Type Single Family Residential Email: alonzobarela@hotmail.com Phone #: 2067189254 Activity Type Scope of Work None Fence Project Name: Barela Fence Description of Work: Build a 6' cedar fence around perimeter of property. Project Details Work Location Work Description/Location (example: 1 st floor, Fence will be all around the property. Master Bath, Garage) Page 2 of 2