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BLD2023-0344+Application+3.20.2023_8.01.19_AM+3429906CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1285317 - MIAKININ DECK Applicant First Name Last Name Company Name Samuel Dahl Number Street Apartment or Suite Number E-mail Address 4329 4th Avenue NW samuel.dahl(�D_gmail.com City State Zip Phone Number Extension Seattle WA 98107 (425) 281-6924 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 8228 TALBOT RD City Zip Code County Parcel Number EDMONDS 98026 00594400007902 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 James & Miakinin E Ttee Ogonowski Number Street Apartment or Suite Number 8228 TALBOT RD City State Zip EDMONDS WA 98026-5042 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: 3/20/2023 Submitted By: Samuel Dahl Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1285317 - MIAKININ DECK Project Contact Company Name: Name: Samuel Dahl Email: samuel.dahl@gmail.com Address: 4329 4th Avenue NW Phone #: (425) 281-6924 Seattle WA 98107 Project Type Activity Type Single Family Residential Deck or Porch Project Name: MIAKININ DECK Description of Work: REPLACE EXISTING DECK (384 SF) Project Details Structure Type Deck Project Information Square Feet - Covered Deck or Porch Contact Information Owner Email Address 384 emiakinin@hotmail.com Page 2 of 2