BLD2020-1409+Application+12.29.2020_1.53.06_PM+1966196CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #901484 - Santiago Residence
Applicant
First Name Last Name Company Name
Maya Mincemoyer
Number Street Apartment or Suite Number E-mail Address
623 83rd st nw mayamincemoyer@gmail.com
City State Zip Phone Number Extension
Seattle WA 98117 2062284225
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State
Zip
Phone Number Extension
State License Number
License Expiration
Date UBI #
E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
18308 84TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00596000000300
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
* CHRISTIAN & RAILIN SANTIAGO
Number Street Apartment or Suite Number
18308 84TH PI W
City State Zip
EDMONDS WA 98026
Certification Statement - The applicant states:
I 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. I
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: 12/29/2020 Submitted By: Maya Mincemoyer
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #901484 - Santiago Residence
Project Contact
Company Name:
Name: Maya Mincemoyer Email: mayamincemoyer@gmail.com
Address: 623 83rd st nw Phone #: 2062284225
Seattle WA 98117
Project Type Activity Type Scope of Work
Single Family Residential Remodel Residence
Project Name: Santiago Residence
Description of Work: Add a 109 sf playroom off of the living room into the garage area. A window will be
added in the playroom.
Project Details
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
Plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work
Exterior Changes?
The work involves changes to the exterior
Add a 109 sf playroom off of the living room into the
garage area. A window will be added in the playroom.
$3,900
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