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BLD2023-1195+Application+9.25.2023_8.56.39_AM+3756448CITY OF EDMONDS MyBuilaingPermit.com Building Application #1361584 - Talbot Garage Floor Repair Applicant First Name Last Name Company Name Henry Saffold Number Street Apartment or Suite Number E-mail Address 8008 Talbot Road cdm(a_nwlink.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 260-5191 Contractor Company Name C P CUSTOM FRMG & REMODL LLC Number Street Apartment or Suite Number 20523 DAMSON RD City State Zip Phone Number Extension LYNNWOOD WA 98036 (425) 772-8935 State License Number License Expiration Date UBI # E-mail Address CPCUSPC970NM 8/14/2025 602318702 cdm((�_)nwlink.com Project Location Number Street Floor Number Suite or Room Number 8008 TALBOT RD City Zip Code County Parcel Number EDMONDS 98026 00594400009001 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 *Henry BONZAI BOBS LLC Number Street Apartment or Suite Number PO BOX 1268 City State Zip EDMONDS WA 98020 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: 9/25/2023 Submitted By: Henry Saffold Page 1 of 2 i o CITY OF EDMONDS MyBuildingPerrnit.cm „c Building Application #1361584 - Talbot Garage Floor Repair Project Contact Company Name: Name: Carla Mitchell Email: cdm@nwlink.com Address: 8008 Talbot Road Phone #: (425) 260-5191 Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential Replacement Deck or Porch Project Name: Talbot Garage Floor Repair Description of Work: Garage floor needs repair. Fix crack in concrete and replace damaged siding. All within the exisiting footprint. Repair and replace only. Project Details Project Information Square Feet - Deck 365 Contact Information Owner Email Address cdm@nwlink.com Page 2 of 2