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BLD2021-1099+Application+8.9.2021_10.49.47_AM+2345326CITY OF EDMONDS MyBtaildingPermit.com Building Application #1000658 - Peterson Interior Garage Alteration Applicant First Name Last Name Company Name CALVIN TAM Tam Design Number Street Apartment or Suite Number E-mail Address 10040 Sand Point Way NE calvint006(�D_gmail.com City State Zip Phone Number Extension Seattle WA 98125 2062403321 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date UBI # Number Street 8410 192ND ST SW City Zip Code County Parcel Number EDMONDS 98026 27041800306900 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Trevor Peterson Number Street Apartment or Suite Number 8410 192ND ST SW City State Zip EDMONDS WA 98026-6124 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: 8/9/2021 Submitted By: CALVIN TAM Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #1000658 - Peterson Interior Garage Alteration Project Contact Company Name: Tam Design Name: CALVIN TAM Email: calvint006@gmail.com Address: 10040 Sand Point Way NE Phone #: 2062403321 Seattle WA 98125 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Peterson Interior Garage Alteration Description of Work: NTERIOR ALTERATION TO EXISTING SINGLE FAMILY RESIDENCE TO CONVERT EXISTING ATTACHED GARAGE & UTILITY AREA INTO LIVING SPACE. 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 Existing attached garage and laundry area $54,000 Page 2 of 2