BLD2021-0198+Application+2.3.2021_4.04.56_PM+2031795CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #918435 - Marshall Master Bath
Applicant
First Name Last Name Company Name
Roqer Marshall
Number Street Apartment or Suite Number E-mail Address
24220 101st ave west Marshall r(�D_comcast.net
City State Zip Phone Number Extension
Edmonds WA 98020-5783 2065428696
Contractor
Company Name
Owner
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
24220 101 ST AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00554900001000
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
First Name Last Name or Company Name
Roqer J & Dolores J Marshall
Number Street Apartment or Suite Number
24220 101 ST AVE W
City State Zip
EDMONDS WA 98020-5783
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: 2/3/2021 Submitted By: Roger Marshall
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #918435 - Marshall Master Bath
Project Contact
Company Name:
Name: Roger Marshall
Address: 24220 101st ave west
Edmonds WA 98020-5783
Project Type
Single Family Residential
Email: MarshalI_r@comcast.net
Phone #: 2065428696
Activity Type Scope of Work
Remodel Residence
Project Name: Marshall Master Bath
Description of Work: Remodel bath and attach to master bedroom
Project Details
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
No 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
Master Bath
$10,000
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