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DNS-Doc #2 - BLD2021-0985+Application+7.15.2021_5.41.31_PM+2303803P I TV t-1 C r% RA fN KII r% Q MyBuildingPermit.corn Building Application #991964 - Edmonds Sound House Applicant First Name Last Name Company Name KVle ZerbeV Studio ZerbeV Architecture Number Street Apartment or Suite Number E-mail Address 6522 9th Ave NW kVle(@_studiozerbeV.corn City State Zip Phone Number Extension Seattle WA 98117 206-930-5147 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 15722 72ND AVE W 1 None City Zip Code County Parcel Number EDMONDS 98026 00513100002501 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 Kevin Keck Number Street Apartment or Suite Number 583 BATTERY ST 508N City State Zip SEATTLE WA 98121 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 ofwork requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 7/15/2021 Submitted By: Kyle Zerbey Page 1 of 2 MyBuil.dingPermit.com CITY OF EDMONDS Building Application #991964 - Edmonds Sound House Project Contact Company Name: Studio Zerbey Architecture Name: Kyle Zerbey Email: kyle@studiozerbey.com Address: 6522 9th Ave NW Phone #: 206-930-5147 Seattle WA 98117 Project Type Any Project Type Activity Type Preapplication Services Project Name: Edmonds Sound House Description of Work: New Single Family Residence Project Details Work Location Work Description/Location (example: 1 st floor, New Single Family Residence Master Bath, Garage) Page 2 of 2