BLD2021-1460+Application+10.25.2021_11.26.27_AM+2480419CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1039624 - Fire Station 17 Fence Replacement
Applicant
First Name Last Name Company Name
Thom Sullivan City of Edmonds
Number Street Apartment or Suite Number E-mail Address
7110 210 st. SW thom.sullivan(.@_edmondswa.gov
City State Zip Phone Number Extension
Edmonds WA 98026 4257603334
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
Number Street
250 5TH AVE N
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date
Phone Number Extension
UBI # E-mail Address
Zip Code County Parcel Number
98020 00434202200100
Tenant Name
City of Edmonds
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Floor Number Suite or Room Number
garage none
First Name Last Name or Company Name
EDMONDS CITY OF
Number Street Apartment or Suite Number
250 5TH AVE N
City State Zip
EDMONDS WA 98020-3146
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: 10/25/2021 Submitted By: Thom Sullivan
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CITY OF EDMONDS nn BuildingPerrnit.cam
Building Application #1039624 - Fire Station 17 Fence Replacement
Project Contact
Company Name: City of Edmonds
Name: Thom Sullivan Email: thom.sullivan@edmondswa.gov
Address: 7110 210 st. SW Phone #: 4257603334
Edmonds WA 98026
Project Type
Nonresidential
Activity Type
Replacement
Project Name: Fire Station 17 Fence Replacement
Description of Work: Replacement of 99" of fencing
Project Details
Scope of Work
Fence
Work Location
Work Description/Location (example: 1 st floor, Replacement of 99" of existing fencing with new chain
Master Bath, Garage) link fencing with privacy slats
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