BLD2024-1319+Application+10.8.2024_9.04.58_AM+4541376CITY OF EDMONDS
Building Application #1556933 - 9212 Fence
Applicant
First Name Last Name
Jorqe Quiroqa
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MyBuitdingPermit.com
Company Name
Green Built Northwest LLC
Number Street Apartment or Suite Number E-mail Address
18604 76TH AVE W
City State Zip
edmonds WA 98026
Contractor
Company Name
Green Built Northwest LLC
Number Street
18604 76th ave w
City State Zip
edmonds WA 98026
State License Number License Expiration Date UBI #
GREENBN861QE 11/5/2024 603448643
Project Location
admin(a),greenbuiltnw.com
Phone Number Extension
(206) 274-9226
Apartment or Suite Number
Phone Number Extension
(206) 274-9226
E-mail Address
admin(cD_greenbuiltnw.com
Number Street Floor Number Suite or Room Number
9212 192ND PL SW
City Zip Code County Parcel Number
EDMONDS 98020 00434600005301
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
Jorqe Fabian Quiroga
Number Street Apartment or Suite Number
7815 5TH AVE NE
City State Zip
SEATTLE WA 98115
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: 10/8/2024 Submitted By: Jorge Quiroga
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1556933 - 9212 Fence
Project Contact
Company Name: Green Built Northwest LLC
Name: Jorge Quiroga Email: admin@greenbuiltnw.com
Address: 18604 76TH AVE W Phone #: (206) 274-9226
edmonds WA 98026
Project Type Activity Type Scope of Work
Single Family Residential New Construction Fence
Project Name: 9212 Fence
Description of Work: Fence install for east and south side of the home. 6ft cedar fence.
Project Details
Work Location
Work Description/Location (example: 1 st floor,
Master Bath, Garage)
Contact Information
Owner Email Address
fence to be built - east side and south side of house
(backyard)
Sophie@greenbuiltnw.com
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