BLD2021-1362+Application+10.4.2021_4.23.59_PM+2443877CITY OF EDMONDS MyBuildingPermit.com
Building Application #1029506 - Tollefson ADU Building Permit
Applicant
First Name Last Name Company Name
Barbara Tollefson
Number Street Apartment or Suite Number E-mail Address
633 Walnut St lee.michaelis@pugetsoundplanninq.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 954-4145
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State
Zip
Phone Number Extension
State License Number
License Expiration
Date UBI #
E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
633 WALNUT ST
City Zip Code County Parcel Number
EDMONDS 98020 00434209402900
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
Barbara Tollefson
Number Street Apartment or Suite Number
633 WALNUT ST
City State Zip
EDMONDS WA 98020-3421
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: 10/4/2021 Submitted By: Barbara Tollefson
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CITY OF EDMONDS Mysu;laingPerrnit.com
Building Application #1029506 - Tollefson ADU Building Permit
Project Contact
Company Name: PLCet Sound Planning,
Name: Lee Michaelis
Address: 5005 200th St SW
Suite 101-B
Lynnwood WA 98036
Project Type
Single Family Residential
Email: lee.michaelis@pugetsoundplanning.com
Phone #: (425) 830-1046
Activity Type
New Construction
Scope of Work
Residence
Project Name: Tollefson ADU Building Permit
Description of Work: Construction of 798 square feet Accessory Dwelling Unit; replacement of a 149 square
foot deck. Construction of three parking stalls and concrete patio.
Project Details
Structure Type
Single Family Dwelling
Project Information
Square Feet - Deck
Square Feet - Floor 1
Square Feet - Other
Total Bedrooms
Total Bathrooms
Total Dwelling Units
Critical Area Information
None
149
798
85
1
1
1
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