BLD2023-0626+Application+5.23.2023_8.43.22_AM+3529139CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1304233 - 9118 Main Fence
Applicant
First Name Last Name Company Name
patrick claussen
Number Street Apartment or Suite Number E-mail Address
9118 Main St pclaussen911(@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 223-1911
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
9118 MAIN ST
City Zip Code County Parcel Number
EDMONDS 98026 00373600500716
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
Patrick Claussen
Number Street Apartment or Suite Number
9118 MAIN ST
City State Zip
EDMONDS WA 98026-6934
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: 5/23/2023 Submitted By: patrick claussen
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #1304233 - 9118 Main Fence
Project Contact
Company Name:
Name:
Address:
patrick claussen
9118 Main St
Edmonds WA 98026
Project Type
Single Family Residential
Email: pclaussen911@gmail.com
Phone #: (425) 223-1911
Activity Type Scope of Work
None Fence
Project Name: 9118 Main Fence
Description of Work: We are gong to install a fence in our backyard.
Project Details
Work Location
Work Description/Location (example: 1st floor, Backyard
Master Bath, Garage)
Contact Information
Owner Email Address pclaussen911 @gmail.com
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