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BLD2022-1502+Application+10.28.2022_8.55.09_PM+3192028CITY OF EDMONDS nnysuilaingPermit.com Building Application #1222682 - 719Edmondsway Applicant First Name Last Name Company Name Sui Hinq Chung Number Street Apartment or Suite Number E-mail Address 1625 180th PI SW thomaschunq 1999(D_yahoo.com City State Zip Phone Number Extension Lynnwood WA 98037 (206) 708-5538 Contractor Company Name Owner Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 719 EDMONDS WAY City Zip Code County Parcel Number EDMONDS 98020 00745300000500 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 Unknown Unknown Number Street Apartment or Suite Number 719 EDMONDS WAY 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: 10/28/2022 Submitted By: Sui Hing Chung Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1222682 - 719Edmondsway Project Contact Company Name: Name: Sui Hing Chung Email: thomaschung_1999@yahoo.com Address: 1625 180th PI SW Phone #: (206) 708-5538 Lynnwood WA 98037 Project Type Single Family Residential Activity Type New Construction Scope of Work Fence Project Name: 719Edmondsway Description of Work: to install new fence in front of the front yard in which 3' set back from the front lot line, a new fence along the easement nearby West side of the house Project Details Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Contact Information Owner Email Address to install new fence in front of the front yard in which 3' set back from the from lot line thomaschung_1999@yahoo.com Page 2 of 2