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BLD2020-1271+Application+11.19.2020_5.07.10_PMCITY OF EDMONDS nnyst,ilaingPermit.com Building Application #887822 - FIELD REMODEL Applicant First Name Last Name Company Name Molly LaPatra LaPatra Architects Number Street Apartment or Suite Number E-mail Address 118 N. Arqyle Place lapatra(�D_me.com City State Zip Phone Number Extension Seattle WA 98103 2066185206 Contractor Company Name C A ADAMS LLC Number Street Apartment or Suite Number 110 NW CANAL ST City State Zip Phone Number Extension SEATTLE WA 98107 2064982480 State License Number License Expiration Date UBI # F-mail Address Project Location Number Street Floor Number Suite or Room Number 428 3RD AVEN NO City Zip Code County Parcel Number EDMONDS 98020 27032400207000 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 Michael W Field Number Street Apartment or Suite Number 428 3RD AVE N City State Zip EDMONDS WA 98020 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: 11/19/2020 Submitted By: Molly LaPatra Page 1 of 2 CITY OF EDMONDS MYBuildingPerrnit.com Building Application #887822 - FIELD REMODEL Project Contact Company Name: LaPatra Architects Name: Molly LaPatra Email: lapatra@me.com Address: 118 N. Argyle Place Phone #: 2066185206 Seattle WA 98103 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: FIELD REMODEL Description of Work: INTERIOR REMODEL OF MAIN AND UPPER BATHROOMS AND PARTIAL INTERIOR REMODEL OF KITCHEN. Project Details 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 Remodeling Work Exterior Changes? The work does not involve changes to the exterior Main floor bathroom and upper floor bathroom interior remodels and partial kitchen remodel. $55,000 Page 2 of 2