BLD2022-1092+Application+8.16.2022_1.26.52_PM+3054096CITY OF EDMONDS MyBtaildingPermit.com
Building Application
#1188607 - 19510 88th Ave W - Lot 3 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
19510 88TH AVE W
City
Zip Code County Parcel Number
EDMONDS
98026 27041800303400
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: 8/16/2022 Submitted By: Select Homes Select Homes
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #1188607 - 19510 88th Ave W - Lot 3 SFR
Project Contact
Company Name: Select Homes, Inc.
Name: Kayla Nichols 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: 19510 88th Ave W - Lot 3 SFR
Description of Work: New SFR
Project Details
Structure Type
Single Family Dwelling
Project Information
Square Feet - Deck
Square Feet - Floor 1
Square Feet - Floor 2
Total Bedrooms
Square Feet - Garage
Total Bathrooms
Total Dwelling Units
Contact Information
Owner Email Address
276
1,401
1,866
5
616
4
1
Scope of Work
Residence
kayla.clark@outlook.com
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