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BLD2020-1039+Application+10.2.2020_3.31.55_PMCITY OF EDMONDS nnyst,ilaingPermit.com Building Application #858671 - Rudback South Wall Repair Applicant First Name Last Name Company Name Hakan Rudback Number Street Apartment or Suite Number E-mail Address 1414 City State Edmonds WA Contractor Company Name EDMONDS REMODEL INC Number Street PO BOX 1692 City EDMONDS State License Number EDMONRI972BG Project Location Number Street 710 CEDAR ST City EDMONDS Associated Building Permit Number harudback(@_hotmail.com Zip Phone Number Extension 98020 4257755170 State Zip WA 980201692 License Expiration Date UBI # 2/8/2021 602253101 Zip Code 98020 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Hakan B A Number Street PO BOX 1414 County Parcel Number 00484500300300 Tenant Name Last Name or Company Name Rudback Apartment or Suite Number Phone Number Extension 2062271029 E-mail Address edmondsremodel(c_gmail.com Floor Number Suite or Room Number Apartment or Suite Number 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: 10/2/2020 Submitted By: Hakan Rudback Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #858671 - Rudback South Wall Repair Project Contact Company Name: Name: Deb Rudback Email: rudback.hakan@gmail.com Address: 1414 Phone #: 2069545083 Edmonds WA 98020 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Rudback South Wall Repair Description of Work: Repair framing, sheathing, and siding damaged by water and insects. Replace all elements in like kind to those constructed during 1991 remodel. 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 1 st floor south exterior wall (repair water/insect damage). $7,500 Page 2 of 2