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BLD2023-1580+Application+12.7.2023_8.25.15_PM+3941329CITY OF EDMONDS MyBuildingPermit.com Building Application #1414384 - Keenan New Shop Applicant First Name Last Name Company Name Aaron Dupont Number Street Apartment or Suite Number E-mail Address 28809 40th Ave S akd.archdesign(abgmail.com City State Zip Phone Number Extension Auburn WA 98001 (206) 348-4483 Contractor Company Name BUILD & RESTORE LLC Number Street Apartment or Suite Number 8420 HOLLY LANE City State Zip Phone Number Extension EDMONDS WA 98026 (206) 412-9222 State License Number License Expiration Date UBI # E-mail Address BUILDRL905MO 8/1/2024 603031431 buildrestore(aD_gmail.com Project Location Number Street Floor Number Suite or Room Number 23716 91 ST PL W City Zip Code County Parcel Number EDMONDS 98026 00456500000200 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 Holly L & Stephen W Keenan Number Street Apartment or Suite Number 23716 91 ST 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: 12/7/2023 Submitted By: Aaron Dupont Page 1 of 2 i CITY OF EDMONDS MyBuildinBPermit.com Building Application #1414384 - Keenan New Shop Project Contact Company Name: Name: Aaron Dupont Email: akd.archdesign@gmail.com Address: 28809 40th Ave S Phone #: (206) 348-4483 Auburn WA 98001 Project Type Activity Type Single Family Residential New Construction Project Name: Keenan New Shop Description of Work: New detached shop Project Details Structure Type Shop Project Information Square Feet - Building Mechanical Included? No mechanical work will occur during this project. Plumbing Included? No plumbing work will occur during this project. Contact Information Owner Email Address 432 Scope of Work Accessory Building buildrestore@gmail.com Page 2 of 2