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BLD2023-1596+Application+12.12.2023_12.55.10_PM+3947211CITY OF EDMONDS MyBuildingPermit.com Building Application #1392872 - Shell Creek Access Applicant First Name Last Name Company Name Kyle Woods City of Edmonds, Parks and Rec Number Street Apartment or Suite Number E-mail Address 700 Main ST kyle.woods(o)_edmondswa.gov City State Zip Phone Number Extension Edmonds WA 98020 (425) 599-3847 Contractor Company Name Contractor Unknown Number Street city State License Number Project Location Number Street 951 MAIN ST city EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 00434206702700 Tenant Name Vacant 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 0 None First Name Last Name or Company Name EDMONDS CITY OF Number Street Apartment or Suite Number 121 5TH AVE N 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: 12/12/2023 Submitted By: Kyle Woods Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1392872 - Shell Creek Access Project Contact Company Name: City of Edmonds, Parks and Rec Name: Kyle Woods Email: kyle.woods@edmondswa.gov Address: 700 Main ST Phone #: (425) 599-3847 Edmonds WA 98020 Project Type Nonresidential Activity Type New Construction Scope of Work Fence Project Name: Shell Creek Access Description of Work: Construction of a split rail fence, accompanied by construction access to property. This project is associated with the submitted CAR titled Shell Creek Grant Compliance Project Details Work Location Work Description/Location (example: 1 st floor, Construction of a split rail fence. Master Bath, Garage) Page 2 of 2