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BLD2021-0235+Application+2.10.2021_8.17.51_PM+2042491CITY OF EDMONDS MyBuildingPermit.com Building Application #921592 - John Trang new constructior Applicant First Name Last Name Company Name JOHN TRANG Number Street Apartment or Suite Number E-mail Address 14534 27th AVE NE. johntrang2012@yahoo.com City State Zip Phone Number Extension SHORELINE WA 98155 2062271031 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 23135 75TH PL W City Zip Code County Parcel Number EDMONDS 98026 00488800200410 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 Thanh & Vo Phuong Tranq Number Street Apartment or Suite Number 23135 75TH PL W 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: 2/10/2021 Submitted By: JOHN TRANG Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #921592 - John Trang new construction Project Contact Company Name: T & D GENERAL CONT. Name: JOHN TRANG Email: johntrang20l2@yahoo.com Address: 14534 27th AVE NE. Phone #: 2062271031 SHORELINE WA 98155 Project Type Single Family Residential Activity Type New Construction Scope of Work Residence Project Name: John Trang new construction Description of Work: Short plat- lot #2 build new single family home , 2 stories, 3 car attached garage, 5 bedrooms, 3.5 bath.... Project Details Structure Type Single Family Dwelling Project Information Square Feet - Floor 1 1,537 Square Feet - Floor 2 1,883 Total Bedrooms 5 Square Feet - Garage 665 Total Bathrooms 35 Total Dwelling Units 1 Page 2 of 2