BLD2023-1453+Application+11.14.2023_11.14.48_AM+3899020CITY OF EDMONDS
Building Application #1393767 - Bracket B101
Applicant
First Name
Last Name
lance
barkman
Number
Street Apartment or Suite Num
21522
84th ave s
City
State Zip
kent
WA 76137
Contractor
Company Name
INTERSTATE RESTORATION WA LLC
Number
Street
3401 QUORUM DR SUITE 300
City
State Zip
FORT WORTH
TX 76137
State License Number
License Expiration Date UBI #
INTERRW905BH
1/12/2024 602846667
Project Location
MyBuildingPermit.com
Company Name
interstate Restoration
or E-mail Address
lance. barkman(cD_firstonsite.com
Phone Number Extension
(206) 604-7173
Apartment or Suite Number
Phone Number Extension
(817) 293-0035
E-mail Address
lance. barkman(cD_firstonsite.corn
Number Street Floor Number Suite or Room Number
9501 244TH ST SW B101
City Zip Code County Parcel Number
EDMONDS 98020 27033600403800
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
US REIF FIRDALE VILLAGE WASHINGTON LLC
Number Street Apartment or Suite Number
10100 SANTA MONICA BLVD 400
City State Zip
LOS ANGELES CA 90067
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: 11/14/2023 Submitted By: lance barkman
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1393767 - Bracket B101
Project Contact
Company Name: interstate Restoration
Name: lance barkman Email: lance.barkman@firstonsite.com
Address: 21522 84th ave s Phone #: (206) 604-7173
kent WA 76137
Project Type
Single Family Condominium Unit
Activity Type
Remodel
Project Name: Bracket B101
Description of Work: Replace damaged framing as prescribed in engineer report.
Project Details
Primary Use
Residential Apartments
Valuation
Fair Market Value of Construction Work
Exterior Changes?
The work does not involve changes to the exterior
Contact Information
Owner Email Address
$9,900
pm.brackett@avenue5apt.com
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