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BLD2024-0523+Application+4.19.2024_12.09.36_AM+4206543CITY OF EDMONDS MyBuildingPermit.com Building Application #1475530 - archangel adult family home Ilc Applicant First Name Last Name Company Name Steven Krassner Number Street Apartment or Suite Number E-mail Address 7404 Braemar Drive s1krassner6b-comcast.net City State Zip Phone Number Extension Edmonds WA 98026 (425) 775-3269 Contractor Company Name Owner Number Street Apartment or Suite Number City State License Number Project Location Number Street 17926 73RD AVE W City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code 98020 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Steven R Number Street po box County Parcel Number 00473700003700 Tenant Name Last Name or Company Name Krassner Phone Number Extension E-mail Address Floor Number Suite or Room Number Apartment or Suite Number City State Zip Lynnwood Washington 98046 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: 4/19/2024 Submitted By: Steven Krassner Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1475530 - archangel adult family home Ilc Project Contact Company Name: Name: Steven Krassner Email: slkrassner@comcast.net Address: 7404 Braemar Drive Phone #: (425) 775-3269 Edmonds WA 98026 Project Type Activity Type Single Family Residential Adult Family Home Inspection Only Project Name: archangel adult family home Ilc Description of Work: new owner, compliance only Project Details Project Information Number of Caretaker Bedrooms 2 Number of Client Bedrooms 6 Contact Information Owner Email Address slkrassner@comcast.net Page 2 of 2