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BLD2021-1434+Application+10.17.2021_4.17.40_PM+2467188CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1036173 - Deck Replacement Applicant First Name Last Name Company Name Erika Croxton Number Street Apartment or Suite Number E-mail Address 1260 7th PI S erikacroxton(D_gmail.com City State Zip Phone Number Extension Edmonds WA 98020 6462324905 Contractor Company Name COUNTRY CARPENTER LLC Number Street Apartment or Suite Number 2929 LARCH WAY City State Zip Phone Number Extension LYNNWOOD WA 98036 4257444554 State License Number License Expiration Date UBI # E-mail Address COUNTCL850QB 11/7/2021 603546070 ronniecearley@comcast.net Project Location Number Street Floor Number Suite or Room Number 1260 7TH PL S City Zip Code County Parcel Number EDMONDS 98020 00657000000900 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 Erika & Mulligan Sean Croxton Number Street Apartment or Suite Number 1260 7TH PL S. City State Zip EDMONDS WA 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: 10/17/2021 Submitted By: Erika Croxton Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1036173 - Deck Replacement Project Contact Company Name: Name: Address: Erika Croxton 1260 7th PI S Edmonds WA 98020 Project Type Single Family Residential Email: erikacroxton@gmail.com Phone #: 6462324905 Activity Type Deck or Porch Project Name: Deck Replacement Description of Work: Replacement of existing wooden 2nd story deck with slightly larger composite deck. Project Details Structure Type Deck Project Information Square Feet - Deck 280 Page 2 of 2