BLD2021-0645+Application+5.10.2021_11.02.36_AM+2187458CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #960978 - Walnut Lot 4 SFR
Applicant
First Name Last Name Company Name
Select Homes Select Homes Select Homes, Inc.
Number Street Apartment or Suite Number E-mail Address
16531 13th Ave W Ste. A107 kayla.clark(D_outlook.com
City State Zip Phone Number Extension
Lynnwood WA 98037 4257426044
Contractor
Company Name
Select homes inc
Number Street
Apartment or Suite Number
16531 13th ave w
A 107
City
State Zip
Phone Number Extension
Lynnwood
WA 98037
(425) 742-6044
State License Number
License Expiration Date
UBI # E-mail Address
SELECH1110KN
1/2/2023
601148280 kayla.clark(c_outlook.com
Project Location
Number Street
Floor Number Suite or Room Number
1012 WALNUT ST
City
Zip Code
County Parcel Number
EDMONDS
98020
27032500100500
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
Select Homes, Inc.
Number Street Apartment or Suite Number
16531 13th Suite A107
City State Zip
Lynnwood WA 98037
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: 5/10/2021 Submitted By: Select Homes Select Homes
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #960978 - Walnut Lot 4 SFR
Project Contact
Company Name: Select Homes, Inc.
Name: Kayla Nichols Email: kayla.clark@outlook.com
Address: 16531 13th Ave W Ste. A107 Phone #: 4257426044
Lynnwood WA 98037
Project Type Activity Type Scope of Work
Single Family Residential New Construction Residence
Project Name: Walnut Lot 4 SFR
Description of Work: New SFR
Project Details
Structure Type
Single Family Dwelling
Project Information
Square Feet - Deck
175
Square Feet - Floor 1
1,414
Square Feet - Floor 2
1,698
Total Bedrooms
5
Square Feet - Garage
601
Total Bathrooms
3
Total Dwelling Units
1
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