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BLD2021-1277+Application+9.14.2021_11.53.27_AM+2399940CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1015708 - Summers Kitchen Applicant First Name Last Name Company Name Bruce Ewing Ewing General Number Street Apartment or Suite Number E-mail Address 114 NW 181st St bruceewinginc(aD_msn.com City State Zip Phone Number Extension Shoreline WA 98177 (206)542-4941 Contractor Company Name EWING GENERAL CONTRACTORS LLC Number Street Apartment or Suite Number 114 NW 181 ST ST City State Zip Phone Number Extension SHORELINE WA 98177 2065424941 State License Number License Expiration Date UBI # E-mail Address EWINGGC827Q1 11/21/2022 603339276 bruceewinginc@msn.com Project Location Number Street Floor Number Suite or Room Number 24103 77TH PL W City Zip Code County Parcel Number EDMONDS 98026 00491100000802 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 Ronald I & Lisa M Summers Number Street Apartment or Suite Number 24103 77TH PL 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: 9/14/2021 Submitted By: Bruce Ewing Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1015708 - Summers Kitchen Project Contact Company Name: Ewing General Name: Bruce Ewing Email: bruceewinginc@msn.com Address: 114 NW 181st St Phone #: (206)9301702 Shoreline WA 98177 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Summers Kitchen Description of Work: Remodel existing kitchen. No added square footage or relocation of floors, walls, or ceiling. Project Details Mechanical Included? No 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 does not involve changes to the exterior Main floor. Single story residence. $40,000 Page 2 of 2