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BLD2023-1175+Application+9.15.2023_1.57.42_PM+3786347CITY OF EDMONDS Building Application #1376744 - Tillman Deck Applicant First Name Last Name Trisha Braden Number Street Apartment or Suite Nurr 6605 224th St. SW City State Zip Mountlake terrace Wa 98043 Contractor Company Name COUNTRY CARPENTER LLC Number Street 2929 LARCH WAY City State Zip LYNNWOOD WA 98036 State License Number License Expiration Date UBI # COUNTCL850QB 11/7/2023 603546070 Project Location MyBuildingPermit.com Company Name or E-mail Address trish.braden(cD_gmail.com Phone Number Extension (541) 621-8890 Apartment or Suite Number Phone Number Extension (425) 744-4554 E-mail Address trish.braden(a_gmail.com Number Street Floor Number Suite or Room Number 8831 204TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00635400001800 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 Darla L & Tillman Matthew D Donnelly Number Street Apartment or Suite Number 8831 204TH 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: 9/15/2023 Submitted By: Trisha Braden Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1376744 - Tillman Deck Project Contact Company Name: Name: Trisha Braden Address: 6605 224th St. SW Mountlake terrace Washington 98043 Project Type Single Family Residential Email: trish.braden@gmail.com Phone #: (541) 621-8890 Activity Type Deck or Porch Project Name: Tillman Deck Description of Work: tear down existing deck, extend footprint and rebuild Project Details Structure Type Deck Project Information Square Feet - Deck Contact Information Owner Email Address 448 matthewtillman0429@hotmail.com Page 2 of 2