BLD2023-0404+Application+4.3.2023_1.18.00_PM+3459666CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1292995 - Fence
Applicant
First Name Last Name Company Name
Mike Rosen
Number Street Apartment or Suite Number E-mail Address
9223 Olympic View Dr
City State Zip
Edmonds WA 98020
Contractor
Company Name
CITY WIDE FENCE CO INC
Number Street
16923 48th Ave W
City State Zip
lynnwood WA 98037
State License Number License Expiration Date UBI #
CITYWFC121 N9 10/4/2024 600643332
Project Location
Number Street
9223 OLYMPIC VIEW DR
rosen(c�hrpvideo.com
Phone Number Extension
(206) 604-7553
Apartment or Suite Number
Phone Number Extension
(425)745-8645 206-707-3889
E-mail Address
marika(a_citywidefence.com
City Zip Code County Parcel Number
EDMONDS 98020 27031300103700
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Floor Number Suite or Room Number
First Name Last Name or Company Name
Michael J & Howard Sharon G Rosen
Number Street Apartment or Suite Number
9223 OLYMPIC VIEW DR
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: 4/3/2023 Submitted By: Mike Rosen
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CITY OF EDMONDS MyBoi[di ngPerrnit.com
Building Application #1292995 - Fence
Project Contact
Company Name:
Name: Mike Rosen Email: rosen@hrpvideo.com
Address: 9223 Olympic View Dr Phone #: (206) 604-7553
Edmonds WA 98020
Project Type Activity Type
Single Family Residential New Construction
Project Name: Fence
Description of Work: Installation of a 5 foot chain link fence in back yard.
Project Details
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Contact Information
Owner Email Address
Scope of Work
Fence
This is for an outdoor back yard chain link fence.
rosen@hrpvideo.com
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