BLD2021-1146+Application+8.18.2021_5.25.10_PM+2364338CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1007615 - Edmonds addition
Applicant
First Name Last Name Company Name
Jason Jones J's Design
Number Street Apartment or Suite Number E-mail Address
PO Box 1064 jayrefinq(@_hotmail.com
City State Zip Phone Number Extension
Marana AZ 85653 (425) 200-7661 2
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
24025 79TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00511600000800
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
July Pan
Number Street Apartment or Suite Number
24025 79TH 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: 8/18/2021 Submitted By: Jason Jones
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CITY OF EDMONDS Mysu;laingPerrnit.com
Building Application #1007615 - Edmonds addition
Project Contact
Company Name: J's Design
Name: Jason Jones Email: jayrefing@hotmail.com
Address: PO Box 1064 Phone #: (425) 200-7661 2
Marana AZ 85653
Project Type Activity Type Scope of Work
Single Family Residential Remodel Residence
Project Name: Edmonds addition
Description of Work: adding new living space and replacing existing garage area
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
new bath upstairs
$15,000
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