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BLD2023-0147+Application+2.5.2023_11.38.52_AM+3351959CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1263778 - Dog Run Fence Applicant First Name Last Name Company Name ROBERT KINGEN GRAPHITE LLC Number Street Apartment or Suite Number E-mail Address 8307 214TH PL SW robertkingen(�D_gmail.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 427-3844 Contractor Company Name GRAPHITE LLC Number Street Apartment or Suite Number 8307 214TH PL SW City State Zip Phone Number Extension EDMONDS WA 98026 (206)427-3844 State License Number License Expiration Date UBI # E-mail Address GRAPHL*780MF 7/6/2024 604931328 robertkingen(c_gmail.com Project Location Number Street Floor Number Suite or Room Number 8710 MAIN ST City Zip Code County Parcel Number EDMONDS 98026 00373600500301 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 Kathleen D Hecox Number Street Apartment or Suite Number 8710 MAIN ST City State Zip EDMONDS WA 98026-6926 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: 2/5/2023 Submitted By: ROBERT KINGEN Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1263778 - Dog Run Fence Project Contact Company Name: GRAPHITE LLC Name: ROBERT KINGEN Email: robertkingen@gmail.com Address: 8307 214TH PL SW Phone #: (206) 427-3844 Edmonds WA 98026 Project Type Single Family Residential Activity Type Scope of Work None Fence Project Name: Dog Run Fence Description of Work: Fence for dog run on west side of house Project Details Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Contact Information Owner Email Address 2 fences on west side of house. both cedar/wood, one 3' high nearest to back yard, one 6' high nearest to driveway Kathleendahlia21 @gmail.com Page 2 of 2