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BLD2022-0772+Application+6.14.2022_7.23.10_AM+2900112CITY OF EDMONDS MyBuildingPermit.com Building Application #1150450 - Billy Hun tley Applicant First Name Last Name Company Name Kari Lillywhite CUSTOM DECKS INC Number Street Apartment or Suite Number E-mail Address 7045 S Fulton St 240 kari(.@_newcustomdecks.com City State Zip Phone Number Extension Centennial CO 80012 (425) 659-1230 Contractor Company Name CUSTOM DECKS INC Number Street Apartment or Suite Number 7388 S REVERE PKWY STE 704 City State Zip Phone Number Extension CENTENNIAL CO 80112 (425)659-1230 State License Number License Expiration Date UBI # E-mail Address CUSTOD1832MS 7/6/2023 604141118 kari(d)_newcustomdecks.com Project Location Number Street Floor Number Suite or Room Number 8211 210TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00662200000400 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 Ronald & Hayes Elisabeth A Huntley Number Street Apartment or Suite Number 8211 210TH 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: 6/14/2022 Submitted By: Kari Lillywhite Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1150450 - Billy Hun tley Project Contact Company Name: CUSTOM DECKS INC Name: Kari Lillywhite Email: kari@newcustomdecks.com Address: 7045 S Fulton St 240 Phone #: (425) 659-1230 Centennial CO 80012 Project Type Single Family Residential Project Name: Billy Hun tley Description of Work: New deck and pad for hot tub. Project Details Structure Type Deck Contact Information Owner Email Address Activity Type Deck or Porch kari@newcustomdecks.com Page 2 of 2