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BLD2021-0923+Application+7.1.2021_3.41.19_PM+2206561CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #965937 - 9216 183rd PI SW Applicant First Name Last Name Company Name Karen Matheney Washington Enerqy Services Company, LLC Number Street Apartment or Suite Number E-mail Address 3909 196th St SW permits(�D_washingtonenergy.com City State Zip Phone Number Extension Lynnwood WA 98036 2063786648 Contractor Company Name WASHINGTON ENERGY SVCS CO LLC Number Street Apartment or Suite Number 3909 196th St SW City State Zip Phone Number Extension Lynnwood WA 98036 (206) 378-6648 State License Number License Expiration Date UBI # E-mail Address WASHIES851 NS 9/7/2021 603522032 permits(cD_washingtonenergy.com Project Location Number Street Floor Number Suite or Room Number 9216 183RD PL SW City Zip Code County Parcel Number EDMONDS 98020 00588200000400 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 Pedro Pablo & Bonner Frank Equi Number Street Apartment or Suite Number 9216 183RD PL SW 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: 7/1/2021 Submitted By: Karen Matheney Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #965937 - 9216 183rd PI SW Project Contact Company Name: Washington Energy Services Company, LLC Name: Karen Matheney Email: permits@washingtonenergy.com Address: 3909 196th St SW Phone #: 2063786648 Lynnwood WA 98036 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: 9216 183rd PI SW Description of Work: Installing 12 windows, expand 3 openings and create one opening. Project Details Mechanical Included? No mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Valuation Fair Market Value of Remodeling Work Exterior Changes? The work involves changes to the exterior WINDOWS $22,600 Page 2 of 2