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BLD2022-0434+Application+4.5.2022_12.03.42_AM+2781059CITY OF EDMONDS MyBuilaingPermit.com Building Application #1119063 - Feldman - Landscape project Applicant First Name Last Name Company Name Jodi Boyden Permit Connections Number Street Apartment or Suite Number E-mail Address 8629 Pinelli Road Jodimboyden@gmail.com City State Zip Phone Number Extension SEDRO WA 98284 3609418656 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location Number Street 924 MAPLE ST City EDMONDS Associated Building Permit Number State Zip License Expiration Date Phone Number Extension UBI # E-mail Address Zip Code County Parcel Number 98020 00434207000800 Tenant Name No tenant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number 1 None First Name Last Name or Company Name Kathy Chrostowska Number Street Apartment or Suite Number 924 MAPLE ST 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: 4/5/2022 Submitted By: Jodi Boyden Page 1 of 2 i CITY OF EDMONDS MyBuilcodin�Perrnit.m „c Building Application #1119063 - Feldman - Landscape project Project Contact Company Name: Permit Connections Name: Jodi Boyden Email: Jodimboyden@gmail.com Address: 8629 Pinelli Road Phone #: 3609418656 SEDRO WOOLLEY WA 98284 Project Type Nonresidential Activity Type New Construction Project Name: Feldman - Landscape project Description of Work: Proposed retaining wall Project Details Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Scope of Work Retaining Wall Proposed retaining wall Page 2 of 2