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BLD2020-0559+Application+6.1.2020_4.08.39_PMCITY OF EDMONDS Building Application #811424 - Barth Addition Applicant First Name Last Name Dean Barth Number Street Apartment or Suite Numt 8409 216 Street, SW City State Zip Edmonds WA 98026 Contractor Company Name Owner Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 8409 216TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00373600400401 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBoildingPermit.com Company Name E-mail Address deanbarth(�D_comcast.net Phone Number Extension 2069498402 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Dean Barth Number Street Apartment or Suite Number 8409 216TH ST SW 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: 6/1/2020 Submitted By: Dean Barth Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #811424 - Barth Addition Project Contact Company Name: Name: Dean Barth Email: deanbarth@comeast.net Address: 8409 216 Street, SW Phone #: 2069498402 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential Structure Addition Residence Project Name: Barth Addition Description of Work: Addition of a master bedroom and creating a master bath with the existing structure. Project Details Increasing Building Height? The height of the building is not increasing. Impervious Surface Adding/Replacing 2,000 square feet or more of hard surface Site Information Proposed Lot Coverage as a percentage There are no critical areas. Clearing and Grading Information Total cubic yards of cut and fill Mechanical Included? 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 Construction Work Beam, Column or Footing Relocation or addition of a structural beam, column, or footing Heated Space The work involves adding any new heated space 23 32 Addition of a master bedroom and creating a master bath within the existing structure. $25,000 Page 2 of 2