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BLD2022-0421+Application+3.31.2022_11.47.23_AM+2773598CITY OF EDMONDS MyBuilaingPermit.com Building Application #1117101 - 19508 88th Ave W - demo Applicant First Name Last Name Company Name Select Homes Select Homes Select Homes, Inc. Number Street Apartment or Suite Number E-mail Address 8304 212th St SW A107 kayla.clark@outlook.com City State Zip Phone Number Extension Edmonds WA 98026 4257426044 Contractor Company Name COMPLETE EXCAVATING LLC Number Street Apartment or Suite Number PO BOX 1275 City State Zip Phone Number Extension LAKE STEVENS WA 98258 4253467562 State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 19510 88TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27041800303400 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 8304 212TH ST 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: 3/31/2022 Submitted By: Select Homes Select Homes Page 1 of 2 i o CITY OF EDMONDS MyBoildingPerrnit.cm „c Building Application #1117101 - 19508 88th Ave W - demo Project Contact Company Name: Select Homes, Inc. Name: Kayla Nichols Email: kayla.clark@outlook.com Address: 8304 212th St SW Phone #: 4257426044 Edmonds WA 98026 Project Type Activity Type Single Family Residential Demolition Project Name: 19508 88th Ave W - demo Description of Work: Demo of garage and shed Project Details Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Scope of Work Secondary Structure Demo Demo of garage (1000 sf) and shed (130 sf) Page 2 of 2