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BLD2022-1184+Application+9.6.2022_12.19.41_PM+3065667 (2)CITY OF EDMONDS Building Application #1191434 - Dean Deck Applicant First Name Last Name Robin Michel MyBuildingPermit.com Company Name Michel Design Number Street Apartment or Suite Number E-mail Address 3617 Bells Beach Rd City State Zip Langley WA 98260 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 569 HEMLOCK WAY City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner rwmichell(@-me.com Phone Number Extension (206) 930-2445 County Parcel Number 00477400000200 Tenant Name Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Dean J Adams Number Street Apartment or Suite Number 569 HEMLOCK WAY 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: 9/6/2022 Submitted By: Robin Michel Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1191434 - Dean Deck Project Contact Company Name: Michel Design Name: Robin Michel Email: rwmichel1@me.com Address: 3617 Bells Beach Rd Phone #: (206) 930-2445 Langley WA 98260 Project Type Single Family Residential Activity Type Deck or Porch Project Name: Dean Deck Description of Work: Install new 2x10 treated joist and treated 2x4 decking with railing to match Project Details Structure Type Deck Project Information Square Feet - Deck Contact Information Owner Email Address 132 fvquest@hotmail.com Page 2 of 2