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BLD2024-1385+Application+10.17.2024_4.21.35_PM+4567222CITY OF EDMONDS Building Application #1563613 - DUSENBURY Applicant First Name Last Name Brandy Tucker Number Street Apartment or Suite Numt 9116 E Spraque ave #547 City State Zip Spokane Wa 99206 Contractor Company Name STRUXURE OUTDOOR OF WASHINGTON Number Street 9116 E Spraque Ave #547 City State Zip Spokane WA 99206 State License Number License Expiration Date UBI # STRUXOW812MB 7/2/2025 604365890 Project Location i MyBuitdingPermit.com Company Name Structures Northwest LLC ar E-mail Address brandy.t(a),struxurep nw.com Phone Number Extension (206) 934-9091 Apartment or Suite Number Phone Number Extension (206) 934-9091 E-mail Address bra ndy.t(a_struxurepnw.corn Number Street Floor Number Suite or Room Number 790 NORTHSTREAM LN City Zip Code County Parcel Number EDMONDS 98026 00532500001400 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 Marcus D Dusenbury Number Street Apartment or Suite Number 790 NORTHSTREAM LN 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: 10/17/2024 Submitted By: Brandy Tucker Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1563613 - DUSENBURY Project Contact Company Name: Structures Northwest LLC Name: Brandy Tucker Email: brandy.t@struxurepnw.com Address: 9116 E Sprague ave #547 Phone #: (206) 934-9091 Spokane Washington 99206 Project Type Single Family Residential Activity Type Deck or Porch Project Name: DUSENBURY Description of Work: ADDING OPEN AIR LOUVERED PERGOLA TO EXISTING DECK AND PORCH Project Details Structure Type Deck Project Information Square Feet - Covered Deck or Porch Contact Information Owner Email Address 536 brandy.t@struxurepnw.com Page 2 of 2