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BLD2023-0451+Application+4.12.2023_10.03.06_AM+3478479CITY OF EDMONDS nnysuilaingPermit.com Building Application #1297956 - Johnson Applicant First Name Last Name Company Name George Johnson Number Street Apartment or Suite Number E-mail Address 21526 80th AVE W City State Zip Edmonds WA 98026-7405 Contractor Company Name CITY WIDE FENCE CO INC Number Street 925 Alder St City State Zip Edmonds WA 98020 State License Number License Expiration Date CITYWFC121 N9 10/4/2024 Project Location Number Street 21526 80TH AVE W City Zip Code EDMONDS 98026 Associated Building Permit Number CRA2023-0052 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner blabbermouth(aUrontier.com Phone Number Extension (425) 775-4795 Apartment or Suite Number Phone Number Extension (425)745-8645 (425)582-3626 UBI # E-mail Address 600643332 blabbermouth(cD_frontier.com County Parcel Number 00373600300500 Tenant Name Floor Number Suite or Room Number First Name Last Name or Company Name George P Johnson Number Street Apartment or Suite Number 21526 80TH AVE W City State Zip EDMONDS WA 98026 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: 4/12/2023 Submitted By: George Johnson Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1297956 - Johnson Project Contact Company Name: Name: George Johnson Address: 21526 80th AVE W Edmonds WA 98026-7405 Project Type Single Family Residential Email: blabbermouth@frontier.com Phone #: (425) 775-4795 Activity Type Scope of Work None Fence Project Name: Johnson Description of Work: 4ft chain link Fence around entire property. Project Details Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Contact Information Owner Email Address Fence. 4ft Chain Link fence around entire property. blabbermouth@frontier.com Page 2 of 2