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BLD2021-0541+Application+4.14.2021_1.35.49_PM+2145444CITY OF EDMONDS MyBtaildingPermit.com Building Application #949063 - McCoy Residence Kitchen Remodel Applicant First Name Last Name Company Name Robin Kearsley Kearsley Homes Number Street Apartment or Suite Number E-mail Address 6631 Norma Beach Road r(D_kearsleyhomes.com City State Zip Phone Number Extension Edmonds WA 98026 4254786380 Contractor Company Name KEARSLEY HOMES INC Number Street Apartment or Suite Number 6631 Norma Beach Road City State Zip Phone Number Extension Edmonds WA 98026 (425) 478-6380 State License Number License Expiration Date UBI # E-mail Address KEARSH1005NH 10/23/2021 602023362 r(c_kearsleyhomes.com Project Location Number Street Floor Number Suite or Room Number 18006 VISTA DEL MAR DR City Zip Code County Parcel Number EDMONDS 98026 00914200000100 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 Lark Hawkins & Drew Elton McCoy Number Street Apartment or Suite Number 18006 VISTA DEL MAR DR 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: 4/14/2021 Submitted By: Robin Kearsley Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #949063 - McCoy Residence Kitchen Remodel Project Contact Company Name: Kearsley Homes Name: Robin Kearsley Email: r@kearsleyhomes.com Address: 6631 Norma Beach Road Phone #: 4254786380 Edmonds WA 98026 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: McCoy Residence Kitchen Remodel Description of The work is for a kitchen remodel. We are replacing appliances, changing the island shape, Work: adding two windows, replacing all the fans with 110 CFM in the bathrooms, changing the placement of the oven, and sink. Project Details Mechanical Included? 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 The work that will take place at 18006 Vista Del Mar Dr. Edmonds WA, 98026 is a new kitchen remodel. $85,000 Page 2 of 2