BLD2021-1032+Application+7.26.2021_10.29.42_AM+2320878CITY OF EDMONDS MyBuilaingPermit.com
Building Application #996201 - SN0911 - Swedish Edmonds
Applicant
First Name Last Name Company Name
Howard Tucker SN0911
Number Street Apartment or Suite Number E-mail Address
1121 SE Everett Mall Way 200 contactwireless@sno911.org
City State Zip Phone Number Extension
Everett WA 98208 425-407-3911
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
Number Street
21601 76TH AVE W
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date UBI #
Zip Code County Parcel Number
98026 00580700002500
Tenant Name
SN0911
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
1 1
First Name Last Name or Company Name
PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO
Number Street Apartment or Suite Number
4710 196TH ST SW
City State Zip
LYNNWOOD WA 98036-5517
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: 7/26/2021 Submitted By: Howard Tucker
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CITY OF EDMONDS MyBuildingPerrnicot.m
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Building Application #996201 - SN0911 - Swedish Edmonds
Project Contact
Company Name:
Name: Michael Aippersbach Email: maipp@comcast.net
Address: PO Box 95429 Phone #: 206-523-3764
Seattle WA 98145
Project Type Activity Type
Nonresidential Remodel
Project Name: SN0911 - Swedish Edmonds
Description of Work: Replace (2) existing microwave antennas on tri-pods on roof of penthouse
Project Details
Valuation
Fair Market Value of Construction Work $18,500
Exterior Changes?
The work involves changes to the exterior
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