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BLD2021-0168+Application+1.29.2021_12.43.04_PM+2021348CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #916078 - White Kitchen Remodel Applicant First Name Last Name Company Name Cecilia White Number Street Apartment or Suite Number E-mail Address 16036 68th Ave W lee.michaelis@pugetsoundplanninq.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 954-4145 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 0 City Zip Code County Parcel Number 00513100004614 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 Cecilia C White Number Street Apartment or Suite Number 16036 68TH AVE 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: 1/29/2021 Submitted By: Cecilia White Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #916078 - White Kitchen Remodel Project Contact Company Name: PLCet Sound Planning, Name: Lee Michaelis Address: 5005 200th St SW Suite 101-B Lynnwood WA 98036 Project Type Single Family Residential Email: lee.michaelis@pugetsoundplanning.com Phone #: (425) 830-1046 Activity Type Scope of Work Remodel Residence Project Name: White Kitchen Remodel Description of Kitchen Remodel to include removal of existing interior walls and replacement of three Work: exterior windows. Other revisions include cabinetry, countertops and appliance replacement 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 involves changes to the exterior Kitchen Remodel $22,500 Page 2 of 2