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BLD2023-0488+Application+4.19.2023_8.23.13_AM+3491416CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1300701 - Back Yard Fence Applicant First Name Last Name Company Name James Jacoby Number Street Apartment or Suite Number E-mail Address 555 Main St ]amesmjacoby(,@-me.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 318-0030 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 555 MAIN ST City Zip Code County Parcel Number EDMONDS 98020 00434202101600 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 & Diana Jacoby Number Street Apartment or Suite Number 555 MAIN ST City State Zip EDMONDS WA 98020-3149 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: 4/19/2023 Submitted By: James Jacoby Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1300701 - Back Yard Fence Project Contact Company Name: Name: Address: James Jacoby 555 Main St Edmonds WA 98020 Project Type Single Family Residential Email: jamesmjacoby@me.com Phone #: (425) 318-0030 Activity Type Scope of Work None Fence Project Name: Back Yard Fence Demolish existing fence on North property line and reconstruct similar cedar fence of matching Description of height. Construct additional matching cedar fence on West property line between Northwest Work: corner of 555 and existing picket fence. Neighbor at 549 Main has requested that existing 3' chain link fence on shared, West property line remain, but has granted permission to "sister" or add additional privacy fence. Project Details Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Contact Information Owner Email Address North and West property line of 555 Main St. jamesmjacoby@me.com Page 2 of 2