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BLD2021-0986+Application+7.15.2021_10.08.15_AM+2302062CITY OF EDMONDS MyBuildingPermit.com Building Application #991576 - Sullivan Resdiential Deck Applicant First Name Last Name Company Name Thomas Sullivan Number Street Apartment or Suite Number E-mail Address 1128 Sea Vista Place bltsullivan('gD_gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 396-5868 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 1128 SEA VISTA PL City Zip Code County Parcel Number EDMONDS 98020 00568300000500 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Thomas J & Hencz Patricia A Sullivan Number Street Apartment or Suite Number 1128 Sea Vista PI City State Zip EDMONDS WA 98020 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: 7/15/2021 Submitted By: Thomas Sullivan Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #991576 - Sullivan Resdiential Deck Project Contact Company Name: PLCet Sound Planning, Name: Lee Michaelis Address: 5005 200th St SW Suite 101-B Lynnwood WA 98036 Project Type Single Family Residential Email: lee.michaelis@pugetsoundplanning.com Phone #: 4258301046 Activity Type Deck or Porch Project Name: Sullivan Resdiential Deck Description of Work: Construction of a second story, rear deck totaling 666 square feet, stairs, and concrete landing. 253 square feet of the deck will be covered. Project Details Structure Type Deck Project Information Square Feet - Deck 666 Page 2 of 2