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BLD2022-0144+Application+2.4.2022_10.07.10_AM+2661600CITY OF EDMONDS Building Application #1087441 -Edmonds Applicant First Name Last Name Gail Jackson Number Street Apartment or Suite Number 18709 88th Ave West City State Zip Edmonds WA 98026 Contractor Company Name Owner Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 18709 88TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00434600001604 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name Gail Jackson E-mail Address gaiia@netzero.net Phone Number Extension 9072542292 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number none First Name Last Name or Company Name John & Gail Jackson Number Street Apartment or Suite Number 7522 S TONGASS HW City State Zip KETCHICAN AK 99901 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: 2/4/2022 Submitted By: Gail Jackson Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1087441 -Edmonds Project Contact Company Name: Gail Jackson Name: Gail Jackson Email: gaija@netzero.net Address: 18709 88th Ave West Phone #: 9072542292 Edmonds WA 98026 Project Type Activity Type Single Family Condominium Unit Remodel Project Name: Edmonds Description of Work: Replace insulation, sheet rock, texture, paint, bath and kitchen cabinets and fixtures, flooring; and bath & kitchen vents. Project Details Primary Use Residential Condos Valuation Fair Market Value of Construction Work $60,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2