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BLD2024-0900+Application+7.11.2024_7.57.30_AM+4356036CITY OF EDMONDS MyBuildingPermit.com Building Application #1512286 - Hauglie Deck Rebuild Applicant First Name Last Name Company Name Nicole Hewlett Burgess Construction Number Street Apartment or Suite Number E-mail Address 8327 164th ST SE nicole(aD_burgessconstructionllc.com City State Zip Phone Number Extension Snohomish WA 98296 (425) 791-5281 Contractor Company Name BURGESS CONSTRUCTION Number Street Apartment or Suite Number 8327 164TH ST SE City State Zip Phone Number Extension SNOHOMISH WA 98296 (425) 791-5281 State License Number License Expiration Date UBI # E-mail Address BURGEC"796C5 3/14/2025 604582807 nicole(cDburgessconstructionllc.com Project Location Number Street Floor Number Suite or Room Number 9106 238TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00713900000800 Associated Building Permit Number Tenant Name CRA2024-0099 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Cordell A & Engen Nancy J Hauglie Number Street Apartment or Suite Number 9106 238TH ST SW 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: 7/11/2024 Submitted By: Nicole Hewlett Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1512286 - Hauglie Deck Rebuild Project Contact Company Name: Burgess Construction Name: Nicole Hewlett Email: nicole@burgessconstructionllc.com Address: 8327 164th ST SE Phone #: (425) 791-5281 Snohomish WA 98296 Project Type Single Family Residential Activity Type Deck or Porch Project Name: Hauglie Deck Rebuild Description of Work: Replace existing deck with same footprint deck, 10'x19' deck Project Details Structure Type Deck Project Information Square Feet - Deck 190 Contact Information Owner Email Address chauglie@gmail.com Page 2 of 2