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BLD2021-0944+Application+7.7.2021_2.01.01_PM+2287852CITY OF EDMONDS Building Application #986159 - Carport Walls Applicant First Name Last Name mark tellefson Number Street Apartment or Suite Num 8419 192nd SW City State Zip Edmonds WA 98026 Contractor Company Name Owner Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 8419 192ND ST SW City Zip Code County Parcel Number EDMONDS 98026 00434600002105 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name E-mail Address tellefsonmark@gmail.com Phone Number Extension 2064233820 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name mark Tellefson Number Street Apartment or Suite Number 8419 192nd SW City State Zip Edmonds WASHINGT 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: 7/7/2021 Submitted By: mark tellefson Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #986159 - Carport Walls Project Contact Company Name: Name: mark tellefson Email: tellefsonmark@gmail.com Address: 8419 192nd SW 192nd SW Phone #: 2064233820 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential Structure Addition Residence Project Name: Carport Walls Description of Work: Add a full height wall with a garage door on the south and 16' of partial height walls on the west Project Details Project Information Square Feet - of Attached ADU 1 Increasing Building Height? The height of the building is not increasing. Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Site Information There are no critical areas. Clearing and Grading Information Total cubic yards of cut and fill 0 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, Partlal carport enclosure Master Bath, Garage) Valuation Fair Market Value of Construction Work $2,000 Beam, Column or Footing No relocation or addition of a structural beam, column, or footing Page 2 of 2