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BLD2021-1071+Application+8.2.2021_7.12.59_AM+2259463CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #980144 - Kitchen remodel Applicant First Name Last Name Company Name Frances Fedoriska Number Street Apartment or Suite Number E-mail Address 9601 Laurel Lane fmalgeo(cD_yahoo.com City State Zip Phone Number Extension Edmonds WA 98020 3035794963 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 9601 LAUREL LN City Zip Code County Parcel Number EDMONDS 98020 00496500000300 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 Frances Alqeo & Stephen Fedoriska Number Street Apartment or Suite Number 9601 LAUREL LANE 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: 8/2/2021 Submitted By: Frances Fedoriska Page 1 of 2 CITY OF EDMONDS Building Application #980144 - Kitchen remodel Project Contact Company Name: Name: Frances Fedoriska Email: fmalgeo@yahoo.com Address: 9601 Laurel Lane Phone #: 3035794963 Edmonds WA 98020 Project Type Single Family Residential i MyBuildingPermit.com Activity Type Scope of Work Remodel Residence Project Name: Kitchen remodel Removing hallway closet to create space for a kitchen island. General Contractor will Description of Work: follow engineering report for adding a beam. Adding a ducting hood vent over the range. 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 1 st floor kitchen $70,000 Page 2 of 2