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BLD2021-0943+Application+7.7.2021_9.29.36_AM+2286703CITY OF EDMONDS Aa Building Application #987384 - De6 Applicant First Name Last Name Jay Mezher Number Street 1023 Daley St City State Zip Edmonds WA 98020 Contractor Company Name Owner Number Street MyBoildingPermit.com Company Name Apartment or Suite Number E-mail Address edmondsiay98020(@_gmail.com Phone Number Extension 2064088204 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 1023 DALEY ST City Zip Code County Parcel Number EDMONDS 98020 00434204403300 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 Jay Mezher Number Street Apartment or Suite Number 1023 DALEY ST 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: 7/7/2021 Submitted By: Jay Mezher Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #987384 - Deck Project Contact Company Name: Name: Address: Jay Mezher 1023 Daley St Edmonds WA 98020 Project Type Single Family Residential Email: edmondsjay98020@gmail.com Phone #: 2064088204 Project Name: Deck Description of Work: deck replacement construction Project Details Structure Type Deck Project Information Square Feet - Deck Activity Type Deck or Porch Page 2 of 2