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BLD2021-1065+Application+7.31.2021_2.40.39_PM+2332259CITY OF EDMONDS Building Application #998434 - Residing Applicant First Name Last Name Liam Sosinsky Number Street Apartment or Suite Number 214 Main Street City State Zip Edmonds WA 98020 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location Number Street 214 MAIN ST City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 00454800101200 Tenant Name Fredericksen Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name E-mail Address liam9595(D_gmail.com Phone Number Extension 4253616146 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 Grace Fredericksen Number Street Apartment or Suite Number PO Box 488 PO BOX 488 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: 7/31/2021 Submitted By: Liam Sosinsky Page 1 of 2 i CITY OF EDMONDS MyBoi[di ngPerrnit.com Building Application #998434 - Residing Project Contact Company Name: Name: Liam Sosinsky Email: liam9595@gmail.com Address: 214 Main Street Phone #: 4253616146 Edmonds WA 98020 Project Type Activity Type Any Project Type Preapplication Services Project Name: Residing Description of Work: A contractor has not been selected. Project Details Work Location Work Description/Location (example: 1 st floor, Replacing siding on 1st level. Master Bath, Garage) Page 2 of 2