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BLD2023-1569+Application+12.7.2023_11.01.09_AM+3939701CITY OF EDMONDS MyBoildingPermit.corn Building Application #1414014 - Brackett's Reserve Lot 05 Fence Applicant First Name Last Name Company Name Rhonda Clancy Pacific Ridqe - DRH LLC Number Street Apartment or Suite Number E-mail Address 17921 BOTHELL EVERETT HWY 100 RLClancy(�D_drhorton.com City State Zip Phone Number Extension BOTHELL WA 98012 (425) 939-1164 Contractor Company Name PACIFIC RIDGE - DRH LLC Number Street Apartment or Suite Number 17921 Bothell Everett HWY 100 City State Zip Phone Number Extension Bothell WA 98012 (425) 939-1158 State License Number License Expiration Date UBI # E-mail Address PACI FRD851 JB 4/5/2025 603487821 RLClancy(a-)_drhorton.com Project Location Number Street Floor Number Suite or Room Number 23903 91ST PL W City Zip Code County Parcel Number EDMONDS 98026 00463301300303 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 Pacific Ridqe - DRH LLC Number Street Apartment or Suite Number 17921 BOTHELL EVERETT HWY BOTHELL EVERETT City State Zip BOTHELL WA 98012 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: 12/7/2023 Submitted By: Rhonda Clancy Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.cam Building Application #1414014 - Brackett's Reserve Lot 05 Fence Project Contact Company Name: Pacific Ridge - DRH LLC Name: Rhonda Clancy Email: RLClancy@drhorton.com Address: 10021 BOTHELL EVERETT HWY Phone #: (425) 939-1164 BOTHELL WA 98012 Project Type Single Family Residential Activity Type New Construction Project Name: Brackett's Reserve Lot 05 Fence Description of Work: New 6 foot wood fence along perimeter of lot with gate Project Details Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Contact Information Owner Email Address Scope of Work Fence 6 foot wood fence with gate along perimeter of lot 05 at Brackett's Reserve RLClancy@drhorton.com Page 2 of 2