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BLD2023-0657+Application+5.30.2023_10.27.21_AM+3574644CITY OF EDMONDS nnysuilaingPermit.com Building Application #1324106 - wall punch through Applicant First Name Last Name Company Name Susan Keene Number Street Apartment or Suite Number E-mail Address 535 Walnut Strwwt 302 smkeene(D_hotmail.com City State Zip Phone Number Extension edmonds WA 98020 (206) 495-5291 Contractor Company Name OSORIO LAWNCARE Number Street Apartment or Suite Number PO Box 32054 City State Zip Phone Number Extension BELLINGHAM WA 98228 3603062027 State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 535 WALNUT ST 3 302 City Zip Code County Parcel Number EDMONDS 98020 00659700030200 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 Susan Moseley Keene Number Street Apartment or Suite Number 535 WALNUT ST 302 City State Zip EDMONDS WA 98020-3465 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: 5/30/2023 Submitted By: Susan Keene Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1324106 - wall punch through Project Contact Company Name: Name: Address: Susan Keene 535 Walnut St 302 edmonds WA 98020 Project Type Multifamily Residential Email: smkeene@hotmail.com Phone #: (206) 495-5291 Activity Type Remodel Project Name: wall punch through Description of Work: remodel punching through wall Project Details Primary Use Residential Condos Valuation Fair Market Value of Construction Work Exterior Changes? The work does not involve changes to the exterior $10,000 Page 2 of 2