BLD2021-0580+Application+4.22.2021_3.15.40_PM+2159718CITY OF EDMONDS
Building Application #953486 - Deck Extension
Applicant
First Name
Last Name
Dale
Lane
Number
Street Apartment or Suite Number
9110
Olympic View Drive
City
State Zip
Edmonds
WA 98026
Contractor
Company Name
Owner
Number
Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
MyBoildingPermit.com
Company Name
E-mail Address
dlane1956(�D_yahoo.com
Phone Number Extension
2063345022
Apartment or Suite Number
Phone Number Extension
E-mail Address
Number Street Floor Number Suite or Room Number
9110 OLYMPIC VIEW DR
City Zip Code County Parcel Number
EDMONDS 98026 27041800203300
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
Dale A Lane
Number Street Apartment or Suite Number
9110 OLYMPIC VIEW DR
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: 4/22/2021 Submitted By: Dale Lane
Page 1 of 2
i
CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #953486 - Deck Extension
Project Contact
Company Name:
Name: Dale Lane Email: dlane1956@yahoo.com
Address: 9110 Olympic View Drive Phone #: 2063345022
Edmonds WA 98026
Project Type Activity Type
Single Family Residential Deck or Porch
Project Name: Deck Extension
Description of Work: Extending current deck 6 feet west and to the end of the house to the north.
Project Details
Structure Type
Deck
Project Information
Square Feet - Deck 399
Page 2 of 2