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BLD2020-1388+Application+12.21.2020_3.55.04_PM+1958344CITY OF EDMONDS Building Application #899814 - Ito Residence Applicant First Name Last Name Albert Cohen Number Street Apartment or Suite Nui 330 Dayton St. Suite 6 City State Zip Edmonds WA 98020 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location MyBuildingPermit.com Company Name Al Cohen Desiqn Company or E-mail Address alcohendesign�bgmail.com Phone Number Extension (425) 776-7373 Apartment or Suite Number Phone Number Extension E-mail Address Number Street Floor Number Suite or Room Number 740 14TH WAY SW City Zip Code County Parcel Number EDMONDS 98020 00390100001300 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 David Ito Number Street Apartment or Suite Number 740 14TH WAY SW 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: 12/21/2020 Submitted By: Albert Cohen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #899814 - Ito Residence Project Contact Company Name: Al Cohen Design Company Name: Albert Cohen Email: alcohendesign@gmail.com Address: 330 Dayton St. Suite 6 Phone #: (425) 776-7373 Edmonds WA 98020 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Ito Residence Description of Work: Finish and Insulate existing non -heated room at rear of garage into a new den. 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 involves changes to the exterior Finish and insulate a non -heated space at rear of garage into a den. $11,250 Page 2 of 2