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BLD2024-0134+Application+1.31.2024_10.12.36_AM+4030819RECEIVED BLD2024-0134 Feb 07 2024 CITY OF EDMONDS - DEVELOPMENT SERVICES DEPARTMENT CITY OF EDMONDS Building Application #1435550 - 10429 240th PI SFR MyBuitdingPermit.com Applicant First Name Last Name Company Name Select Homes Select Homes Select Homes, Inc. Number Street Apartment or Suite Number E-mail Address 8304 212th St SW kayla.clark(.@_outlook.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 742-6044 Contractor Company Name Select homes inc Number Street Apartment or Suite Number 8304 212th St SW City State Zip Phone Number Extension Edmonds WA 98026 (425) 742-6044 State License Number License Expiration Date UBI # E-mail Address SELECH1110KN 1/25/2025 601148280 kayla.clark(Doutlook.com Project Location Number Street Floor Number Suite or Room Number 8304 212TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00467400000300 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 SELECT HOMES INC Number Street Apartment or Suite Number 8304 212TH ST SOUTHWEST 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: 1/31/2024 Submitted By: Select Homes Select Homes Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1435550 - 10429 240th PI SFR Project Contact Company Name: Select Homes, Inc. Name: Kayla Nichols Email: kayla.clark@outlook.com Address: 8304 212th St SW Phone #: (425) 742-6044 Edmonds WA 98026 Project Type Single Family Residential Project Name: 10429 240th PI SFR Description of Work: New SFR Project Details Structure Type Single Family Dwelling Project Information Square Feet - Deck Square Feet - Floor 1 Square Feet - Floor 2 Total Bedrooms Square Feet - Garage Total Bathrooms Total Dwelling Units Critical Area Information None Contact Information Owner Email Address Activity Type New Construction 226 1,408 1,702 5 648 3 1 Scope of Work Residence kayla.clark@outlook.com Page 2 of 2