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BLD2021-1169+Application+8.23.2021_4.43.19_PM+2371630CITY OF EDMONDS Building Application #1009607 - Reyes project Applicant First Name Last Name Julian Reyes Number Street Apartment or Suite Numb( 18524 73rd Ave W Unit -A City State Zip EDMONDS WA 98026 Contractor Company Name Owner Number Street City State Zip State License Number License Expiration Date UBI # Project Location MyBuildingPermit.com Company Name E-mail Address bachymiranda(&_hotmail.com Phone Number Extension 4253411005 Apartment or Suite Number Phone Number Extension E-mail Address Number Street Floor Number Suite or Room Number 18524 73RD AVE W City Zip Code County Parcel Number EDMONDS 98026 00477500007700 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 Julian Reyes Number Street Apartment or Suite Number 18524 73RD AVE W A 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: 8/23/2021 Submitted By: Julian Reyes Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1009607 - Reyes project Project Contact Company Name: Name: Julian Reyes Email: bachymiranda@hotmail.com Address: 18524 73rd Ave W Unit -A Phone #: 4253411005 EDMONDS WA 98026 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: Reyes project Description of Work: insulation and drywall Project Details Mechanical Included? No mechanical work will occur during this project. Plumbing Included? No 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 does not involve changes to the exterior First and second floor $15,000 Page 2 of 2