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BLD2022-0626+Application+5.12.2022_1.32.58_PM+2865099CITY OF EDMONDS Building Application #1141551 - Gjylameti Bath Applicant First Name Last Name Andrew Lawrence Number Street Apartment or Suite Number 1936 1 st Ave S City State Zip Seattle WA 98134 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # MyBuildingPermit.com Company Name E-mail Address alawrence(D_urbanadd.com Phone Number Extension 2062748020 Apartment or Suite Number Phone Number Extension E-mail Address Number Street Floor Number Suite or Room Number 819 DRIFTWOOD LN City Zip Code County Parcel Number EDMONDS 98020 27031300307500 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 Kristi & Daria Gjylameti Number Street Apartment or Suite Number 819 DRIFTWOOD LANE City State Zip EDMONDS WA 98020 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: 5/12/2022 Submitted By: Andrew Lawrence Page 1 of 2 CITY OF EDMONDS MYBuildingPerrnit.com Building Application #1141551 - Gjylameti Bath Project Contact Company Name: Name: Andrew Lawrence Email: alawrence@urbanadd.com Address: 1936 1st Ave S Phone #: 2062748020 Seattle WA 98134 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: Gjylameti Bath Description of Work: INTERIOR REMODEL / ALTERATION TO CREATE ONE NEW FULL BATH & CLOSET AREA AT EXISTING FINISHED BASEMENT LEVEL BEDROOM. 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 involves changes to the exterior NEW BATH AT EXISTING FINISHED BASEMENT LEVEL BEDROOM $20,000 Page 2 of 2