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BLD2021-0456+Application+3.31.2021_10.10.26_AM+2120025CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #942430 - New Accessory Bldg Applicant First Name Last Name Company Name Nathan Fritz Number Street Apartment or Suite Number E-mail Address 10702 Nottinqham Road natefritz(cD_hotmail.com City State Zip Phone Number Extension Edmonds WA 98020 2067554588 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 10702 NOTTINGHAM RD City Zip Code County Parcel Number EDMONDS 98020 00571300101700 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Nathan Fritz Number Street Apartment or Suite Number 10702 NOTTINGHAM RD City State Zip EDMONDS WA 98020 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: 3/31/2021 Submitted By: Nathan Fritz Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #942430 - New Accessory Bldg Project Contact Company Name: Name: Nathan Fritz Email: natefritz@hotmail.com Address: 10702 Nottingham Road Phone #: 2067554588 Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential New Construction Accessory Building Project Name: New Accessory Bldg Description of Work: The project consists of the construction of a new accessory building with a restroom. Project Details Structure Type Accessory Structure Project Information Square Feet - Building 180 Mechanical Included? No mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Page 2 of 2