BLD2022-1409+Application+10.16.2022_5.46.07_PM+3167103CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1216600 - 23619 104th Ave W
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@maderenovation.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 aoqeneralconstructionsllc@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
23619 104TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 27033600302100
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
Matt & Sarah Baldock
Number Street Apartment or Suite Number
23619 104TH AVE W
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: 10/16/2022 Submitted By: Gina Weyant
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1216600 - 23619 104th Ave W
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
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: 23619 104th Ave W
Description of 49 Sq Ft Bathroom Remodel on Ground Floor. In -Kind. No Structural. No Changes to Walls,
Work: Openings, or Layout Replace Existing with (N) Curbed Shower, Toilet/Bidet, and Vanity. All
(N) Fixtures, Finishes, Lights, Switches, Outlets, and Exhaust Fan
Project Details
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 Remodeling Work
Exterior Changes?
The work does not involve changes to the exterior
Contact Information
Owner Email Address
Main Bathroom on Ground Floor
$6,500
sarahjbaldock@gmail.com
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