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BLD2021-1156+Application+8.19.2021_3.01.14_PM+2366313CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1008175 - Burger / Keller Deck Applicant First Name Last Name Company Name Bruce Owensby Bruec Owensby Architect Number Street Apartment or Suite Number E-mail Address 20315 87th Ave W beowensby(a_icloud.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 673-2695 Contractor Company Name Modernized Exteriors LLC Number Street Apartment or Suite Number 4403 Russell Road 102 City State Zip Phone Number Extension Mukilteo WA 98275 (425) 275-3298 State License Number License Expiration Date UBI # E-mail Address MODEREL873M4 12/2/2021 603311620 cameronhanke86(a_gmail.com Project Location Number Street Floor Number Suite or Room Number 18004 73RD AVE W City Zip Code County Parcel Number EDMONDS 98026 00477500005100 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 Todd C\keller Nicole L Burgers Number Street Apartment or Suite Number 18004 73RD AVE W 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: 8/19/2021 Submitted By: Bruce Owensby Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1008175 - Burger / Keller Deck Project Contact Company Name: Bruce Owensby Architecct Name: Bruce Owensby Email: beowensby@icloud.com Address: 20315 87th Ave W Phone #: (425) 673-2695 Edmonds wa 98026 Project Type Single Family Residential Activity Type Deck or Porch Project Name: Burger / Keller Deck Description of Work: Replacing an existing deck with a larger new deck and stairs in the same location at the rear of the house. Project Details Structure Type Deck Project Information Square Feet - Deck 403 Page 2 of 2