BLD2022-1170+Application+8.31.2022_9.28.08_PM+3084754CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1190819 - Remove kitchen wall
Applicant
First Name Last Name Company Name
Matthew Petersen
Number Street Apartment or Suite Number E-mail Address
1110 5th Ave S. 204 Petersenmsp(.@_gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 (402) 680-6208
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State
Zip
Phone Number Extension
State License Number
License Expiration
Date UBI #
E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
1110 5TH AVE S 204
City Zip Code County Parcel Number
EDMONDS 98020 00665700020400
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
Matthew S & Petersen Elizabeth A Petersen
Number Street Apartment or Suite Number
1110 5TH AVE S 204
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: 8/31/2022 Submitted By: Matthew Petersen
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CITY OF EDMONDS Mysu;laingPerrnit.com
Building Application #1190819 - Remove kitchen wall
Project Contact
Company Name:
Name: Matthew Petersen Email: Petersenmsp@gmail.com
Address: 1110 5th Ave S. 204 Phone #: (402) 680-6208
Edmonds WA 98020
Project Type Activity Type
Single Family Condominium Unit Remodel
Project Name: Remove kitchen wall
Description of Work: We are removing one small load bearing wall for an open concept kitchen.
Project Details
Primary Use
Residential Condos
Valuation
Fair Market Value of Construction Work $5,000
Exterior Changes?
The work does not involve changes to the exterior
Contact Information
Owner Email Address Petersenmsp@gmail.com
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