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BLD2021-1562+Application+11.16.2021_3.09.11_PM+2523615CITY OF EDMONDS Building Application #982189 - Workshop Applicant First Name Last Name Joe Hendricks Number Street Apartment or Suite Numb 5617 148th St SW City State Zip Edmonds WA 98026 Contractor Company Name JNR CONSTRUCTION Number Street 15842 14TH AVE NE City State Zip SEATTLE WA 98155 State License Number License Expiration Date UBI # JNRCOC*954PK 4/8/2022 602532275 Project Location MyBuildingPermit.com Company Name JNR Construction er E-mail Address joe@jnrconstruction.org Phone Number Extension (206)271-1856 Apartment or Suite Number Phone Number Extension 2062711856 E-mail Address jnrconstruc(aD_hotmail.com Number Street Floor Number Suite or Room Number 1531 10TH PL N City Zip Code County Parcel Number EDMONDS 98020 27031300408400 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 Gordon & Pearson Janet Sivley Number Street Apartment or Suite Number 1531 10TH PL N City State Zip EDMONDS WA 98020-2630 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: 11/16/2021 Submitted By: Joe Hendricks Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #982189 - Workshop Project Contact Company Name: JNR Construction Name: Joe Hendricks Email: joe@jnrconstruction.org Address: 5617 148th St SW Phone #: (206)271-1856 Edmonds WA 98026 Project Type Single Family Residential Activity Type New Construction Project Name: Workshop Description of Work: Construction of detached workshop. Project Details Structure Type Accessory Structure Project Information Square Feet - Building 624 Mechanical Included? No mechanical work will occur during this project. Plumbing Included? No plumbing work will occur during this project. Scope of Work Accessory Building Page 2 of 2