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BLD2021-1008+Application+7.21.2021_8.05.51_AM+2312457CITY OF EDMONDS MyBuitdingPermit.com Building Application #993882 - Schwind Pool Applicant First Name Last Name Company Name Jim Berqstrom Aqua Quip Number Street Apartment or Suite Number E-mail Address 730 SW 34th St jbergstrom(.@-aquaquip.com City State Zip Phone Number Extension Renton WA 98057 2063548719 Contractor Company Name Aqua Quip Number Street Apartment or Suite Number 730 SW 34th St City State Zip Phone Number Extension Renton WA 98057 (206)354-8719 State License Number License Expiration Date UBI # E-mail Address AQUAQ**011 C2 2/15/2020 601928009 Ibergstrom(aD-aquaquip.com Project Location Number Street Floor Number Suite or Room Number 315 DALEY ST City Zip Code County Parcel Number EDMONDS 98020 00434211903500 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 Denice Schwind Number Street Apartment or Suite Number 315 DALEY ST 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: 7/21/2021 Submitted By: Jim Bergstrom Page 1 of 2 i CITY OF EDMONDS MyBuildinBPermit.com Building Application #993882 - Schwind Pool Project Contact Company Name: Aqua Quip Name: Jim Bergstrom Address: 730 SW 34th St Renton WA 98057 Project Type Single Family Residential Email: jbergstrom@aquaquip.com Phone #: 2063548719 Activity Type New Construction Project Name: Schwind Pool Description of Work: Install 12'x26' Swimming Pool Project Details Project Structures Swimming Pool Valuation Fair Market Value of Construction Work $80,000 Scope of Work Pool Page 2 of 2