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BLD2022-0913+Application+7.11.2022_3.40.09_PM+2981972CITY OF EDMONDS nnysuilaingPermit.com Building Application #1171403 - Gifford Residence Applicant First Name Last Name Company Name Albert Cohen Al Cohen Desiqn Company Number Street Apartment or Suite Number E-mail Address 330 Dayton St. Suite 6 alcohendesign(&_gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 776-7373 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 9403 232ND ST SW City Zip Code County Parcel Number EDMONDS 98020 27033600103700 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 Graham R & Jennifer A Gifford Number Street Apartment or Suite Number 9403 232ND ST SW City State Zip EDMONDS WA 98020-5027 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: 7/11/2022 Submitted By: Albert Cohen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1171403 - Gifford Residence Project Contact Company Name: Al Cohen Design Company Name: Albert Cohen Email: alcohendesign@gmail.com Address: 330 Dayton St. Suite 6 Phone #: (425) 776-7373 Edmonds WA 98020 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Gifford Residence Description of Work: Add new second floor, remodel portion of first floor, enlarge front porch and deck. 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 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 0.5 New second floor, remodel 'bedroom end' of existing first floor. New porch at front of house. $296,500 Page 2 of 2