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BLD2021-0895+Application+6.26.2021_10.26.43_AM+2271136CITY OF EDMONDS MyBuildingPermit.com Building Application #974625 - King Residence Applicant First Name Last Name Company Name John Rienties Number Street Apartment or Suite Number E-mail Address 13518 120th Ave NE irienties(�D_gmail.com City State Zip Phone Number Extension Kirkland WA 98034 4258643049 Contractor Company Name D L Siqler Construction LLC Number Street Apartment or Suite Number 22027 NE 13th PL City State Zip Phone Number Extension SAMMAMISH WA 98074 4252690820 State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 131 SKYLINE DR City Zip Code County Parcel Number EDMONDS 98020 00423000005300 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 Sue Eastman\gerald E Kinq Number Street Apartment or Suite Number 8433 SE 62ND ST City State Zip MERCER ISLAND WA 98040 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: 6/26/2021 Submitted By: John Rientjes Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #974625 - King Residence Project Contact Company Name: Name: John Rientjes Email: jrientjes@gmail.com Address: 13518 120th Ave NE Phone #: 4258643049 Kirkland WA 98034 Project Type Activity Type Single Family Residential New Construction Project Name: King Residence Description of Work: Construction of a new 3,699 sq. ft. single family residence. Project Details Structure Type Single Family Dwelling Project Information Square Feet - Basement Finished 1,536 Square Feet - Deck 696 Square Feet - Floor 1 2,163 Total Bedrooms 4 Square Feet - Garage 1,112 Total Bathrooms 3 Total Dwelling Units 1 Scope of Work Residence Page 2 of 2