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BLD2024-0183+Application+2.12.2024_8.26.38_AM+4033787CITY OF EDMONDS MyBuildingPermit.com Building Application #1436550 - Collins - Pergola Applicant First Name Last Name Company Name Karmyn Riley Structures Northwest LLC Number Street Apartment or Suite Number E-mail Address 9116 E Spraque Ave. #547 karmyn.r(c_struxurepnw.com City State Zip Phone Number Extension Spokane WA 99206 (206) 551-2499 Contractor Company Name STRUXURE OUTDOOR OF WASHINGTON Number Street Apartment or Suite Number 9116 E Spraque Ave. City State Zip Phone Number Extension Spokane WA 99206 (206) 551-2499 State License Number License Expiration Date UBI # E-mail Address STRUXOW812MB 7/2/2025 604365890 bra ndy.t(a_struxurepnw.corn Project Location Number Street Floor Number Suite or Room Number 17802 TALBOT RD City Zip Code County Parcel Number EDMONDS 98026 00594400003702 Associated Building Permit Number Tenant Name 1436550 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Charles & Cole Elizabeth Cole Number Street Apartment or Suite Number 17802 TALBOT ROAD 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: 2/12/2024 Submitted By: Karmyn Riley Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1436550 - Collins - Pergola Project Contact Company Name: Structures Northwest LLC Name: Karmyn Riley Email: karmyn.r@struxurepnw.com Address: 9116 E Sprague Ave. #547 Phone #: (206) 551-2499 Spokane WA 99206 Project Type Single Family Residential Activity Type Deck or Porch Project Name: Collins - Pergola Description of Work: adding a freestanding louvered pergola to the existing patio. It will be have 5 functional post base brackets connected to the concrete patio Project Details Structure Type Deck Project Information Square Feet - Covered Deck or Porch Contact Information Owner Email Address 437 karmyn.r@struxurepnw.com Page 2 of 2