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BLD2021-1685+Application+12.14.2021_10.09.07_AM+2570925CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1064137 - Fajarillo-Storage Applicant First Name Last Name Company Name Carmelo Laviste CNL Design Number Street Apartment or Suite Number E-mail Address 216 NE 175th street bongnl(cb_hotmail.com City State Zip Phone Number Extension Shoreline WA 98155 (206) 683-2395 Contractor Company Name ASAP Restore LLC Number Street Apartment or Suite Number 23005 76th Ave W City State Zip Phone Number Extension EDMONDS WA 98026 (206)795-4032 (206)795-4032 State License Number License Expiration Date UBI # E-mail Address ASAPRRL840D2 5/16/2022 603574153 asaprestore1(aD_gmail.com Project Location Number Street Floor Number Suite or Room Number 23005 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00488800400102 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 Bernard Faiarillo Number Street Apartment or Suite Number 23005 76TH AVE W City State Zip EDMONDS WA 98026-8701 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: 12/14/2021 Submitted By: Carmelo Laviste Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1064137 - Fajarillo-Storage Project Contact Company Name: CNL Design Name: Carmelo Laviste Email: bongnl@hotmail.com Address: 216 NE 175th street Phone #: (206) 683-2395 Shoreline WA 98155 Project Type Single Family Residential Activity Type New Construction Project Name: Fajarillo-Storage Description of Work: CONSTRUCT 600 SF OF UNHEATED STORAGE Project Details Structure Type Shed or Outbuilding Project Information Square Feet - Building 600 Mechanical Included? No mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Scope of Work Accessory Building Page 2 of 2