BLD2021-1436+Application+10.18.2021_7.09.28_PM+2442468CITY OF EDMONDS
Building Application #1029155 - 304 Maplevine
Applicant
First Name
Last Name
Scott
amy
Number Street
Apartment or Suite Number
1071 4th ave s
304
City State
Zip
Edmonds WA
98020
Contractor
Company Name
KOBE ONE LLC
Number Street
500 Sharon
Crest
City
State Zip
EVERETT
WA 98201
State License Number
License Expiration Date UBI #
KOBEOOL847MN
6/21/2023 603494281
Project Location
Number Street
1071 4TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 00687300130400
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
MyBuildingPermit.com
Company Name
E-mail Address
seriky1 @yahoo.com
Phone Number Extension
2067198774
Apartment or Suite Number
Phone Number Extension
4254222994
E-mail Address
seriky1 @yahoo.com
Floor Number Suite or Room Number
304
First Name Last Name or Company Name
Scott E Amy
Number Street Apartment or Suite Number
1071 4TH AVE S 304
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: 10/18/2021 Submitted By: Scott amy
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #1029155 - 304 Maplevine
Project Contact
Company Name:
Name:
Address:
scott amy
1071 4th ave s 304
Edmonds WA 98020
Project Type
Single Family Condominium Unit
Email: seriky1@yahoo.com
Phone #: 2067198774
Activity Type
Remodel
Project Name: 304 Maplevine
Description of Work: -Kitchen remodel -Partial removal of wall between kitchen/dining room and living room
New flooring in living room, entry way, kitchen area, dining room and halloway
Project Details
Primary Use
Residential Condos
Valuation
Fair Market Value of Construction Work $45,000
Exterior Changes?
The work does not involve changes to the exterior
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