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BLD2021-1245+Application+9.7.2021_7.06.21_PM+2396528CITY OF EDMONDS M BuildingPermit.com Building Application #968309 - Stubenrauch Deck and Push Pier Plan Applicant First Name Last Name Company Name Melissa Stubenrauch Quality Improvement Consultinq Number Street Apartment or Suite Number E-mail Address 16907 76th Ave West Iisa4000(cDcomcast.net City State Zip Phone Number Extension edmonds WA 98026 2067789870 Contractor Company Name ROBBINS & CO HOUSEMOVING INC Number Street Apartment or Suite Number 818 SW 142nd St City State Zip Phone Number Extension Burien WA 98166 206-244-1023 (800) 577-5285 State License Number License Expiration Date UBI # F-mail Address ROBBICH 169NQ 4/1 /2022 600535117 Iisa4000@comcast.net Project Location Number Street Floor Number Suite or Room Number 16907 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00513100012106 Associated Building Permit Number Tenant Name 995994 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Melissa B Stubenrauch Number Street Apartment or Suite Number 16907 76TH AVE W City State Zip EDMONDS WA 98026-5003 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: 9/7/2021 Submitted By: Melissa Stubenrauch Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #968309 - Stubenrauch Deck and Push Pier Plan Project Contact Company Name: Quality Improvement Consulting Name: Melissa Stubenrauch Email: lisa4000@comcast.net Address: 16907 76th Ave West Phone #: 2067789870 edmonds WA 98026 Project Type Single Family Residential Activity Type Deck or Porch Project Name: Stubenrauch Deck and Push Pier Plan Description of Work: Install Push Piers per plan and erect deck replacement on front of the house. Project Details Structure Type Deck Project Information Square Feet - Deck 280 Page 2 of 2