BLD2021-0675+Application+5.13.2021_11.03.09_PM+2174818CITY OF EDMONDS MyBuilaingPermit.com
Building Application #956897 - Gross Residence Remodel
Applicant
First Name Last Name Company Name
Erin Gross
Number
Street
Apartment or Suite Number E-mail Address
17303
72nd Ave W
erin.danae.gross@gmail.com
City
State
Zip
Phone Number Extension
Edmonds
WA
98026
2069498222
Contractor
Company Name
BELOTTI MCHUGH DSN\CNST
SR LLC
Number
Street
Apartment or Suite Number
1900
N Northlake Way
Suite 249
City
State Zip
Phone Number Extension
Seattle
WA 98103
(206) 458-0570
State License Number
License Expiration Date
UBI # E-mail Address
belotmd881cq
2/7/2022
603174362 erin.danae.gross@gmail.com
Project Location
Number
Street
Floor Number Suite or Room Number
17303
72ND AVE W
City
Zip Code
County Parcel Number
EDMONDS
98026
00513100013803
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
Mark F & Erin D Gross
Number Street Apartment or Suite Number
17303 72ND AVE 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: 5/13/2021 Submitted By: Erin Gross
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CITY OF EDMONDS Mysu;laingPerrnit.com
Building Application #956897 - Gross Residence Remodel
Project Contact
Company Name: Belotti McHugh Design and Const.
Services
Name: Todd McHugh Email: todd@belottimchugh.com
Address: 1900 N Northlake Way Suite 249 Phone #: 206.458.0570
Seattle WA 98103
Project Type
Single Family Residential
Project Name: Gross Residence Remodel
Activity Type Scope of Work
Remodel Residence
Removal and reconfiguration of first floor interior (non -bearing) walls, renovating existing
Description of bedrooms, bathrooms and kitchen. Replacement of most exterior windows. Reconfiguration
Work: of stair. Second floor interior wall reconfiguration of non -bearing walls. Removal of existing
fireplace and chimney.
Project Details
Mechanical Included?
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 involves changes to the exterior
1 st floor throughout, stair, and 2nd floor above garage
$125,000
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