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BLD2023-0041+Application+1.10.2023_7.09.21_PM+3308103CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1252181 - Laundry Room Fire Applicant First Name Last Name Company Name Nikola Gorman Number Street Apartment or Suite Number E-mail Address 8419 198th Street SW nikolagorman(@hotmail.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 308-9752 Contractor Company Name TWINS CONSTRUCTION Number Street Apartment or Suite Number 198th St SW City State Zip Phone Number Extension Edmonds WA 98026 4253089752 State License Number License Expiration Date UBI # E-mail Address TWINSC*906K5 6/8/2024 603011937 nikolagorman(a)_hotmail.com Project Location Number Street Floor Number Suite or Room Number 8419 198TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27041900201100 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 Rory & Nikola Gorman Number Street Apartment or Suite Number 8419 198TH ST SW 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: 1/10/2023 Submitted By: Nikola Gorman Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1252181 - Laundry Room Fire Project Contact Company Name: Name: Nikola Gorman Email: nikolagorman@hotmail.com Address: 8419 198th Street SW Phone #: (425) 308-9752 Edmonds WA 98026 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: Laundry Room Fire Restoring Laundry Room and Storage Area damaged from Fire that began inside the wall Description of behind dryer. Fire damange as well as water damage from fire hoses destroyed sheetrock, Work: insulation, trim boards and flooring in addition to electrical wiring and plumbing being destroyed. Project Details Mechanical Included? No 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 does not involve changes to the exterior Contact Information Owner Email Address 1 st floor Laundry room and Storage Room $16,646 nikolagorman@hotmail.com Page 2 of 2