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BLD2023-0126+Application+1.30.2023_11.10.31_AM+3340326CITY OF EDMONDS MyBuilaingPermit.com Building Application #1181580 - Wong Residence Deck Applicant First Name Last Name Company Name Benjamin James CG Engineering Number Street Apartment or Suite Number E-mail Address 250 4th Ave South Suite 200 benj@cgengineerinq.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 778-8500 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 21718 85TH PL W City Zip Code County Parcel Number EDMONDS 98026 00408800000300 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 Arthur Y Wong Number Street Apartment or Suite Number 21718 85TH PL 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: 1/30/2023 Submitted By: Benjamin James Page 1 of 2 i o CITY OF EDMONDS MyBuildingPerrnit.cm „c Building Application #1181580 - Wong Residence Deck Project Contact Company Name: CG Engineering Name: Benjamin James Email: benj@cgengineering.com Address: 250 4th Ave South Suite 200 Phone #: (425) 778-8500 Edmonds WA 98020 Project Type Single Family Residential Activity Type Deck or Porch Project Name: Wong Residence Deck Description of Work: Replace existing deck with new deck with a larger footprint and a partial roof. Project Details Structure Type Deck Contact Information Owner Email Address artwongod@hotmail.com Page 2 of 2