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BLD2022-0292+Application+3.8.2022_9.52.20_AM+2723858CITY OF EDMONDS nnysuilaingPermit.com Building Application #1101706 - Backyard Gym Shed Applicant First Name Last Name Company Name Michael Harms Number Street Apartment or Suite Number E-mail Address 809 Walnut Street mike(D_mhfitness.com City State Zip Phone Number Extension Edmonds WA 98020 2063691650 Contractor Company Name PETERSON WORKS LLC Number Street Apartment or Suite Number 6820 40th Ave. NE City State Zip Phone Number Extension SEATTLE WA 98115 2066786840 State License Number License Expiration Date UBI # E-mail Address PETERWL888JT 7/16/2022 603197031 petersonworksllc(cD_gmail.com Project Location Number Street Floor Number Suite or Room Number 809 WALNUT ST City Zip Code County Parcel Number EDMONDS 98020 00434207403400 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 Michael & Jennifer Harms & Myers Number Street Apartment or Suite Number 809 WALNUT ST 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: 3/8/2022 Submitted By: Michael Harms Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1101706 - Backyard Gym Shed Project Contact Company Name: Name: Address: Michael Harms 809 Walnut Street Edmonds WA 98020 Project Type Single Family Residential Email: mike@mhfitness.com Phone #: 2063691650 Activity Type New Construction Scope of Work Accessory Building Project Name: Backyard Gym Shed Description of Work: I am applying to build a shed in my backyard. The shed will function as a gym. Project Details Structure Type Accessory Structure Project Information Square Feet - Building 352 Mechanical Included? Mechanical work will occur during this project. Plumbing Included? No plumbing work will occur during this project. Page 2 of 2