BLD2023-0602+Application+5.17.2023_11.34.12_AM+3536087CITY OF EDMONDS
Building Application #1313301 -Security gate
Applicant
First Name
Last Name
Greqory
Mashburn
Number
Street Apartment or Suite Numl
10016
Edmonds Way #C318
City
State Zip
Edmonds
WA 98020
Contractor
Company Name
NW PROF RES/COMM CONST INC
Number
Street
P O Box 1017
MyBuildingPermit.com
Company Name
or E-mail Address
greq(.@gregmashburn.com
Phone Number Extension
(206) 963-0561
Apartment or Suite Number
City State Zip Phone Number Extension
LAKE STEVENS WA 98258 (425)335-1117
State License Number License Expiration Date UBI # E-mail Address
NWPROPR914RQ 12/21/2023 602888085 greq(a)_greqmashburn.com
Project Location
Number Street Floor Number Suite or Room Number
19918 MAPLEWOOD DR
City Zip Code County Parcel Number
EDMONDS 98026 00548900002804
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
Greqory Dee & Donna Marie Mashburn
Number Street Apartment or Suite Number
10016 EDMONDS WAY C 318
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: 5/17/2023 Submitted By: Gregory Mashburn
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #1313301 -Security gate
Project Contact
Company Name:
Name: Gregory Mashburn Email: greg@gregmashburn.com
Address: 10016 Edmonds Way #C318 Phone #: (206) 963-0561
Edmonds WA 98020
Project Type Activity Type Scope of Work
Single Family Residential None Fence
Project Name: Security gate
Description of Work: automated security gate on my driveway
Project Details
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Contact Information
Owner Email Address
Automated security gate @ 19918 Maplewood Dr
Edmondd
greg@gregmashburn.com 206 963-0561
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