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BLD2022-1154+Application+8.26.2022_3.58.34_PM+3075884CITY OF EDMONDS MyBtaildingPermit.com Sign Application #1193781 - Returning Home Mural Applicant First Name Last Name Company Name Rachel Dobbins Art Walk Edmonds Number Street Apartment or Suite Number E-mail Address P.O. Box 62 info(.@_artwalkedmonds.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 298-7947 Contractor Company Name Contractor Unknown 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 114 4TH AVE N City Zip Code County Parcel Number EDMONDS 98020 00434400101002 Associated Building Permit Number Tenant Name crow Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name VIXENS LLC Number Street Apartment or Suite Number 1107 FAIR OAKS AVE 187 City State Zip S PASADENA CA 91030 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: 8/26/2022 Submitted By: Rachel Dobbins Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1193781 - Returning Home Mural Project Contact Company Name: Art Walk Edmonds Name: Rachel Dobbins Email: info@artwalkedmonds.com Address: P.O. Box 62 Phone #: (425) 298-7947 Edmonds WA 98020 Project Type Nonresidential Activity Type Permanent Sign Scope of Work Wall or Building Project Name: Returning Home Mural Description of 16 ft w x 1.75 ft h mural on south facing wall that depicts storybook setting featuring Work: Edmonds as a welcoming community. Mural will include historical symbolism relating to Edmonds as well. Project Details Sign 1 Type Other Additional Project Information Total number of signs installed 1 Total number of signs removed 0 Page 2 of 2