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BLD2022-1023+Application+8.2.2022_12.56.26_PM+3027807CITY OF EDMONDS MyBuildingPermit.com Building Application #1182165 - KIMBROUGH FINAL PERMIT Applicant First Name Last Name Company Name wayne Johnson paracon Number Street Apartment or Suite Number E-mail Address 17421 69th ave s.e. pa raconwayne(D_com cast. net City State Zip Phone Number Extension snohomish WA 98296 (206) 579-2535 Contractor Company Name Paracon Number Street Apartment or Suite Number 17421 69th Ave SE City State Zip Phone Number Extension Snohomish WA 98296 360-668-1124 State License Number License Expiration Date UBI # F-mail Address PARAC**950RO 3/25/2024 601529912 paraconwayne(c�comcast.net Project Location Number Street Floor Number Suite or Room Number 1140 7TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00619400800300 Associated Building Permit Number Tenant Name BLD2017-0550 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Tyler & Catherine Kimbrouqh Number Street Apartment or Suite Number 1140 7TH AVE S 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: 8/2/2022 Submitted By: Wayne johnson Page 1 of 2 CITY OF EDMONDS MyBuildingPerrnit.com Building Application #1182165 - KIMBROUGH FINAL PERMIT Project Contact Company Name: paracon Name: wayne Johnson Address: 17421 69th ave s.e. snohomish WA 98296 Project Type Single Family Residential Email: paraconwayne@comcast.net Phone #: (206) 579-2535 Activity Type Scope of Work Remodel Residence Project Name: KIMBROUGH FINAL PERMIT Description of Work: NEW MISC. PERMIT TO CLOSE OUT INSPECTIONS ON EXPIRED PERMIT BLD2017-0550. ALL DOCS ARE OPRIGINAL DOCUMENTS. ATTN: DENISE NELSON Project Details Mechanical Included? Mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Valuation Fair Market Value of Remodeling Work Exterior Changes? The work involves changes to the exterior Contact Information Owner Email Address NEW MISC. PERMIT TO CLOSE OUT INSPECTIONS ON EXPIRED PERMIT BLD2017-0550. ALL DOCS. ARE ORIGINAL DOCUMENTS. ATTN: DENISE NELSON $300,000 T.Kimbrough@proliancesurgeons.com Page 2 of 2