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BLD2021-0373+Application+3.14.2021_5.07.25_PM+1970195CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #902540 - Dentel Residence Applicant First Name Last Name Company Name John Dentel Number Street Apartment or Suite Number E-mail Address 643 Edmonds Way annette 860(&_msn.com City State Zip Phone Number Extension Edmonds WA 98020 3608150669 Contractor Company Name Owner Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 643 EDMONDS WAY City Zip Code County Parcel Number EDMONDS 98020 27032500306600 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name John D Dentel Number Street Apartment or Suite Number 643 EDMONDS WAY City State Zip EDMONDS WA 98020-4640 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: 3/14/2021 Submitted By: John Dentel Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #902540 - Dentel Residence Project Contact Company Name: Name: John Dentel Email: annette_860@msn.com Address: 6 Edmonds Way Edmonds Phone #: 3608150669 Way Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential Structure Addition Residence Project Name: Dentel Residence Description of Work: Demo and remodel of one room and adding 470 sgft to the house Project Details Increasing Building Height? The height of the building is increasing. Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Site Information Lot size in square feet Proposed Lot Coverage as a percentage There are no critical areas. Critical Areas Designation has been completed for the parcel Clearing and Grading Information Total cubic yards of cut and fill 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 Construction Work Beam, Column or Footing Relocation or addition of a structural beam, column, or footing Heated Space The work involves adding any new heated space 14000 17.37 95 Tearing down a 392 sgft room to remodel and adding 470 sgft on this rambler $50,000 Page 2 of 2