BLD2021-1107+Application+8.9.2021_4.51.49_PM+2347489CITY OF EDMONDS M BuildingPermit.com
Building Application #1003384 - Shurts Residence Interior Bathroom Remodel
Applicant
First Name Last Name Company Name
tuvia poliskin T2 Design+Architecture
Number Street Apartment or Suite Number E-mail Address
14722 32nd Ave NE t(�D_tuviapoliskin.com
City State Zip Phone Number Extension
shoreline WA 98155 (425) 395-4861
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
841 CASPERS ST
City Zip Code County Parcel Number
EDMONDS 98020 00418600000500
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
Aaron & Alison Shurts
Number Street Apartment or Suite Number
841 CASPERS
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: 8/9/2021 Submitted By: tuvia poliskin
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1003384 - Shurts Residence Interior Bathroom Remodel
Project Contact
Company Name: T2 Design+Architecture
Name: tuvia poliskin Email: t@tuviapoliskin.com
Address: 14722 32nd Ave NE Phone #: (425) 395-4861
shoreline WA 98155
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: Shurts Residence Interior Bathroom Remodel
Description of Work: The scope of work includes remodel of two exisitng bathrooms with new master walkin
closet with associated electrical, plumbing and mechanical work.
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 does not involve changes to the exterior
Upper Floor Guest & Master Bathroom with New
Master Walkin Closet
$45,000
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