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BLD2022-0449+Application+4.7.2022_2.49.30_PM+2789257CITY OF EDMONDS nn BtaildingPermit.com Building Application #1121172 - HARBO RESIDENCE PARKING DECK Applicant First Name Last Name Company Name luis sialer Sialer Desiqn LLC Number Street Apartment or Suite Number E-mail Address 16008 Motor PI sialerdesign(aD_gmail.com City State Zip Phone Number Extension Lynnwood WA 98082 4258777377 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 17003 72ND PL W City Zip Code County Parcel Number EDMONDS 98026 00741700000300 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 Randy Harbo Number Street Apartment or Suite Number 17003 72ND PL W 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: 4/7/2022 Submitted By: luis sialer Page 1 of 2 CITY OF EDMONDS MYBuildingPerrnit.com Building Application #1121172 - HARBO RESIDENCE PARKING DECK Project Contact Company Name: Sialer Design LLC Name: luis sialer Email: sialerdesign@gmail.com Address: 16008 Motor PI Phone #: 4258777377 Lynnwood WA 98082 Project Type Single Family Residential Activity Type Deck or Porch Project Name: HARBO RESIDENCE PARKING DECK Description of Work: REPAIR THE STRUCTURE UNDER EXISTING PAN DECKING DRIVEWAY. NO CHANGE ON FOOTPRINT, NO ADDITION, ONLY STRUCTURAL REPAIR Project Details Structure Type Deck Project Information Square Feet - Deck 900 Page 2 of 2