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BLD2020-1395+Application+12.17.2020_6.49.30_PM+1923837CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #890632 - Smith Residence Applicant First Name Last Name Company Name Mark Smith Number Street Apartment or Suite Number E-mail Address 7726 202nd PI SW markcsmith45(aD_gmail.com City State Zip Phone Number Extension Edmonds WA 98026 2537783679 Contractor Company Name Owner Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 7726 202ND PL SW City Zip Code County Parcel Number EDMONDS 98026 00512700001200 Associated Building Permit Number Tenant Name 890632 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 Mark C Smith Number Street Apartment or Suite Number 7726 202ND PL SW City State Zip EDMONDS WA 98026-6845 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: 12/17/2020 Submitted By: Mark Smith Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #890632 - Smith Residence Project Contact Company Name: NA Name: Mark smith Email: markcsmith45@gmail.com Address: 7726 202nd PI Sw Phone #: 2537783679 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: Smith Residence Description of Work: Remodel. New Roof Trusses, Roof, Electrical, Plumbing, and HVAC. 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 Remodel 1 st & 2nd floors. New Roof Trusses, Roof, electrical, plumbing, and HVAC. $80,000 Page 2 of 2