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BLD2022-0131+Application+2.1.2022_9.23.08_AM+2653455CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1085333 - 20509 78th PI W Applicant First Name Last Name Company Name Rebecca Ferren Ram Jack West Number Street Apartment or Suite Number E-mail Address PO BOX 11701 City State Zip EUGENE OR 97440 Contractor Company Name RAMJACK WEST Number Street PO BOX 11701 City EUGENE State License Number RAMJAW*852PW Project Location Number Street 20509 78TH PL W City EDMONDS Associated Building Permit Number Perm its(�D_ramiackwest.com Phone Number Extension (541)510-9079 Apartment or Suite Number State Zip Phone Number Extension OR 97440 (541)510-9079 License Expiration Date UBI # E-mail Address 5/28/2023 603499720 permits(cD_ramiackwest.com Zip Code County Parcel Number 98026 00506500001400 Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name Evan R & Anna R Nelson Number Street Apartment or Suite Number 20509 78TH PL W 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: 2/1/2022 Submitted By: Rebecca Ferren Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1085333 - 20509 78th PI W Project Contact Company Name: Ram Jack West Name: Rebecca Ferren Email: permits@ramjackwest.com Address: PO BOX 11701 Phone #: (541)510-9079 EUGENE OR 97440 Project Type Single Family Residential Activity Type Scope of Work Remodel Accessory Dwelling Unit Project Name: 20509 78th PI W Description of Work: Voluntary repair of existing foundation Project Details Accessory Dwelling Unit Information Square feet - primary dwelling unit 1,536 Square Feet of the accessory dwelling unit. 1 The floor the ADU is located in. 1 Mechanical Included? No mechanical work will occur during this project. Plumbing Included? No plumbing work will occur during this project. Additional Project Information Fair Market Value of Remodel Work $17,631 Page 2 of 2