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BLD2021-0651+Application+5.10.2021_3.26.26_PM+2188520CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #961112 - Retaining Wall - South Applicant First Name Last Name Company Name Stacee Franks Number Street Apartment or Suite Number E-mail Address 8732 209TH PL SW staceesandberg(�D_gmail.com City State Zip Phone Number Extension EDMONDS WA 98026 2069818082 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 8732 209TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00598200001100 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 Spencer E\ Stacee L Franks Number Street Apartment or Suite Number 8732 209TH PL SW City State Zip EDMONDS WA 98026 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: 5/10/2021 Submitted By: Stacee Franks Page 1 of 2 i CITY OF EDMONDS MyBuildingPerrnit.cam „ Building Application #961112 - Retaining Wall - South Project Contact Company Name: Name: Stacee Franks Address: 8732 209TH PL SW EDMONDS WA 98026 Email: staceesandberg@gmail.com Phone #: 2069818082 Project Type Activity Type Scope of Work Single Family Residential New Construction Retaining Wall Project Name: Retaining Wall - South Description of Work: Retaining Wall on South side of property to prevent and manage erosion. Project Details Structure Type Retaining Wall Page 2 of 2