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BLD2022-1368+Application+10.7.2022_2.04.55_PM+3153157CITY OF EDMONDS nnysuilaingPermit.com Building Application #1212427 - 505 5th Ave S #210 Applicant First Name Last Name Company Name Gina Weyant UNTITLED LABS INC DBA MADE Number Street Apartment or Suite Number E-mail Address 701 Sutter St Floor 3 gina()_made renovation. com City State Zip Phone Number Extension San Francisco CA 94109 (415) 589-1655 Contractor Company Name A&O GENERAL CONSTRUCTION LLC Number Street Apartment or Suite Number 15703 3RD AVE NE City State Zip Phone Number Extension SHORELINE WA 98155 (206)475-8408 4155891655 State License Number License Expiration Date UBI # E-mail Address OGENEGC793QC 11/3/2023 604822552 gina(cD_maderenovation.com Project Location Number Street Floor Number Suite or Room Number 505 5TH AVE S 2nd 2102 City Zip Code County Parcel Number EDMONDS 98020 01070900021000 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 Dennis J & Cheryl A Pothoven Number Street Apartment or Suite Number 505 5TH AVE S 210 City State Zip EDMONDS WA 98020-3459 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: 10/7/2022 Submitted By: Gina Weyant Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1212427 - 505 5th Ave S #210 Project Contact Company Name: UNTITLED LABS INC DBA MADE RENOVATION Name: Gina Weyant Email: gina@maderenovation.com Address: 701 Sutter St Floor 3 Phone #: (415) 589-1655 San Francisco CA 94109 Project Type Multifamily Residential Project Name: 505 5th Ave S #210 Activity Type Remodel 107 Sq Ft Main Bathr Remodel. No Structural Relocate and replace Existing Tub/Shower Description of with a (N) Curbed Shower. Replace Existing Toilet and Double Vanity In -Kind. Add a Work: non -bearing partition wall to creat a (N) Closet. All (N) Fixtures, Finishes, Lights, Switches, Outlets, and Exhaust Fan Project Details Primary Use Residential Condos Valuation Fair Market Value of Construction Work $7,500 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2