BLD2023-0577+Application+5.11.2023_11.59.41_AM+3539434CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1314281 -restore crawl space
Applicant
First Name Last Name Company Name
BRIAN TAKAGI brian k takagi, md, pllc
Number Street Apartment or Suite Number E-mail Address
21906 76TH AVE W BKTAKAGICcD_LIVE.COM
City State Zip Phone Number Extension
EDMONDS WA 98026 (206) 799-8998
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
Number Street
21906 76TH AVE W
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date
Phone Number
UBI # E-mail Address
Zip Code County Parcel Number
98026 00461000202003
Tenant Name
Brian K Takagi, MD
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Floor Number
1
Apartment or Suite Number
Extension
Suite or Room Number
none
First Name Last Name or Company Name
Brian Takagi
Number Street Apartment or Suite Number
21906 76TH AVE W
City State Zip
EDMONDS WA 98026
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: 5/11/2023 Submitted By: BRIAN TAKAGI
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #1314281 -restore crawl space
Project Contact
Company Name: brian k takagi, md, pllc
Name: BRIAN TAKAGI Email: BKTAKAGI@LIVE.COM
Address: 21906 76TH AVE W Phone #: (206) 799-8998
EDMONDS WA 98026
Project Type
Nonresidential
Activity Type
Remodel
Project Name: restore crawl space
Description of Work: remove insulation, install new insulation, repair ducts, install ground tarp, replace
mesh on vents
Project Details
Project Information
Square Feet -Tenant 3,600
Valuation
Fair Market Value of Construction Work $17,000
Exterior Changes?
The work does not involve changes to the exterior
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