BLD2022-0424+Application+3.31.2022_2.57.21_PM+2774472CITY OF EDMONDS
Building Application #1107606 - fredrick
Applicant
First Name Last Name
Terry Willey
MyBuildingPermit.com
Company Name
Northwest Quality Remodel & Deck
Number Street Apartment or Suite Number E-mail Address
15414 91 st AVE SE
City State Zip
Snohomish WA 98296
Contractor
Company Name
NW QUALITY REMODEL & DECK LLC
Number Street
15414 91 st AVE SE
City State Zip
Snohomish WA 98296
State License Number License Expiration Date UBI #
NWQUAQR898JL 4/13/2023 603102278
Project Location
Number Street
9220 192ND PL SW
City Zip Code County Parcel Number
EDMONDS 98020 00434600005302
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
awhomes@comcast.net
Phone Number Extension
(360) 668-0191
Apartment or Suite Number
Phone Number Extension
(360) 668-0191
E-mail Address
awhomes@comcast.net
Floor Number Suite or Room Number
First Name Last Name or Company Name
Frederick G Gouge
Number Street Apartment or Suite Number
9220 192ND PL SW
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: 3/31/2022 Submitted By: Terry Willey
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #1107606 - fredrick
Project Contact
Company Name: Northwest Quality Remodel &
Deck
Name: Terry Willey Email: awhomes@comcast.net
Address: 15414 91 st AVE SE Phone #: (360) 668-0191
Snohomish WA 98296
Project Type Activity Type
Single Family Residential Demolition
Project Name: fredrick
Description of Work: demo existing garage
Project Details
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Scope of Work
Secondary Structure Demo
demo of existing garage 28' x 75'
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