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BLD2022-0890+Application+7.7.2022_1.16.51_AM+2974243CITY OF EDMONDS MyBuilaingPermit.com Building Application #1169482 - Rixmann Swimming Pool Applicant First Name Last Name Company Name Robert Rixmann Number Street Apartment or Suite Number E-mail Address 7017 174th St SW rnrixmann(cD_gmail.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 794-2389 Contractor Company Name Owner 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 7017 174TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00513100013805 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 Robert N Rixmann Number Street Apartment or Suite Number 7017 174TH ST SW City State Zip EDMONDS WA 98026-5228 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: 7/7/2022 Submitted By: Robert Rixmann Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1169482 - Rixmann Swimming Pool Project Contact Company Name: Name: Robert Rixmann Email: rnrixmann@gmail.com Address: 7017 174th St SW Phone #: (206) 794-2389 Edmonds WA 98026 Project Type Single Family Residential Activity Type New Construction Scope of Work Pool Project Name: Rixmann Swimming Pool Description of Work: Construction of a typical steel wall above -ground swimming pool, 24 feet in diameter and 52 inches deep on existing grade. Project Details Project Structures Swimming Pool Valuation Fair Market Value of Construction Work Contact Information Owner Email Address $10,000 rnrixmann@gmail.com Page 2 of 2