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BLD2024-0239+Application+2.21.2024_1.26.36_PM+4073697CITY OF EDMONDS MyBuildingPermit.com Building Application #1445969 - Fence Applicant First Name Last Name Company Name John Holmes Number Street Apartment or Suite Number E-mail Address 19826 77th PI W City State Zip Edmonds WA 98026 Contractor Company Name Owner Number Street johnholmes162(�Dgmail.com Phone Number Extension (425) 210-1183 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 19826 77TH PL W City Zip Code County Parcel Number EDMONDS 98026 00564000000900 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 John & Elizabeth Holmes Number Street Apartment or Suite Number 19826 77TH PL W City State Zip EDMONDS WA 98026 Certification Statement - The applicant states: 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. 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: 2/21/2024 Submitted By: John Holmes Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1445969 - Fence Project Contact Company Name: Name: Address: John Holmes 19826 77th PI W Edmonds WA 98026 Project Type Single Family Residential Project Name: Fence Description of Work: replacement Project Details Email: johnholmes162@gmail.com Phone #: (425) 210-1183 Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Contact Information Owner Email Address Activity Type Replacement Scope of Work Fence Replacing 30year old fence on 199St Sw Using Wooand 2 !/2 steel post. johnholmes162@gmail.com Page 2 of 2