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BLD2021-0408+Application+3.19.2021_2.12.07_PM+2102272CITY OF EDMONDS Aa Building Application #937694 - West Applicant First Name Last Name Selena Fitch Number Street Apartment or Suite Number 128118 8TH Ave W A205 City State Zip Everett WA 98204 Contractor Company Name MA SPECIALTY Number Street 1520 151 ST ST SW City State Zip LYNNWOOD WA 98087 State License Number License Expiration Date MASPES*832DF 3/6/2021 Project Location Number Street 9504 215TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00528200001100 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name Fitch & Company E-mail Address selena@fitchdesigncompany.com Phone Number Extension 4254818190 Apartment or Suite Number Phone Number Extension 4253226750 UBI # E-mail Address 603523943 mohammedalmayyahi7(cD_gmail.com Floor Number Suite or Room Number First Name Last Name or Company Name David & Terry West Number Street Apartment or Suite Number 9504 215TH ST 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: 3/19/2021 Submitted By: Selena Fitch Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #937694 - West Project Contact Company Name: Fitch & Company Name: Selena Fitch Email: selena@fitchdesigncompany.com Address: 128118 8TH Ave W Phone #: 4254818190 A205 Everett WA 98204 Project Type Single Family Residential Project Name: West Description of Work: Kitchen Remodel Project Details Activity Type Scope of Work Remodel Residence 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 kitchen remodel $20,000 Page 2 of 2