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BLD2022-1087+Application+8.15.2022_1.25.46_PM+3051188CITY OF EDMONDS MyBtaildingPermit.com Building Application #1187886 - 7918 203rd St. SW., Lot 1 SFR Applicant First Name Last Name Company Name Select Homes Select Homes Select Homes, Inc. Number Street Apartment or Suite Number E-mail Address 8304 212th St. SW kayla.clark(D_outlook.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 742-6044 Contractor Company Name Select homes inc Number Street Apartment or Suite Number 8304 212th St SW City State Zip Phone Number Extension Edmonds WA 98020 (425) 742-6044 State License Number License Expiration Date UBI # E-mail Address SELECH1110KN 1/2/2023 601148280 kayla.clark(c_outlook.com Project Location Number Street Floor Number Suite or Room Number 7918 203RD ST SW City Zip Code County Parcel Number EDMONDS 98026 27041900112700 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 SELECT HOMES INC Number Street Apartment or Suite Number 8304 212TH ST SW 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: 8/15/2022 Submitted By: Select Homes Select Homes Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1187886 - 7918 203rd St. SW., Lot 1 SFR Project Contact Company Name: Select Homes, Inc. Name: Select Homes Select Homes Email: kayla.clark@outlook.com Address: 8304 212th St. SW Phone #: (425) 742-6044 Edmonds WA 98020 Project Type Single Family Residential Activity Type New Construction Project Name: 7918 203rd St. SW., Lot 1 SFR Description of Work: New SFR Project Details Structure Type Single Family Dwelling Project Information Square Feet - Floor 1 Square Feet - Floor 2 Total Bedrooms Square Feet - Garage Total Bathrooms Total Dwelling Units Contact Information Owner Email Address 1,253 1,812 5 643 3 1 kclark310@gmail.com Scope of Work Residence Page 2 of 2