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BLD2021-1256+Application+9.9.2021_4.07.46_PM+2400880CITY OF EDMONDS MyBuildingPermit.com Building Application #1017669 - Remodel Applicant First Name Last Name Company Name John Gilbert GILBERT CONSTRUCTION CO LLC Number Street Apartment or Suite Number E-mail Address 103 Edmonds St. gilbertconstruction(@comcast.net City State Zip Phone Number Extension Edmonds WA 98020 (206)542-7171 Contractor Company Name GILBERT CONSTRUCTION CO LLC Number Street Apartment or Suite Number 103 Edmonds St City State Zip Phone Number Extension EDMONDS WA 98020 (206)542-7171 State License Number License Expiration Date UBI # F-mail Address GILBECC976D1 3/21/2023 602258696 giIbertconstruction@comcast.net Project Location Number Street Floor Number Suite or Room Number 401 2ND AVE N City Zip Code County Parcel Number EDMONDS 98020 27032300101600 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 GILBERT CONSTRUCTION COMPANY LLC Number Street Apartment or Suite Number 103 EDMONDS ST 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: 9/9/2021 Submitted By: John Gilbert Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1017669 - Remodel Project Contact Company Name: LLC GILBERT CONSTRUCTION CO Name: John Gilbert Email: gilbertconstruction@comcast.net Address: 103 Edmonds St. Phone #: (206)542-7171 Edmonds WA 98020 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Remodel Description of Work: main floor renovation and remodel install new Hardie fiber cement siding on exterior, electric wiring upgrades 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 main floor renovation and remodel install new Hardie fiber cement siding on exterior, electric wiring upgrades $10,000 Page 2 of 2