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BLD2022-0532+Application+4.27.2022_2.10.21_PM+2827902CITY OF EDMONDS Building Application #1131635 - Lafollette Applicant First Name Last Name Terry Willey MyBuildingPermit.com Company Name Northwest Quality Remodel & Deck Number Street Apartment or Suite Number E-mail Address 15414 91 st AVE SE City State Zip Snohomish WA 98296 Contractor Company Name NW QUALITY REMODEL & DECK LLC Number Street 15414 91 st AVE SE City State Zip Snohomish WA 98296 State License Number License Expiration Date UBI # NORTHG*891 KF 5/6/2013 603102278 Project Location Number Street 21925 95TH AVE W awhomes@comcast.net Phone Number Extension (360) 668-0191 Apartment or Suite Number Phone Number Extension (360) 668-0191 E-mail Address awhomes@comcast.net City Zip Code County Parcel Number EDMONDS 98020 00527900001600 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name Claudia J Lafollette Number Street Apartment or Suite Number 21925 95TH 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: 4/27/2022 Submitted By: Terry Willey Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1131635 - Lafollette Project Contact Company Name: Northwest Quality Remodel & Deck Name: Terry Willey Email: awhomes@comcast.net Address: 15414 91 st AVE SE Phone #: (360) 668-0191 Snohomish WA 98296 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Lafollette Description of Work: kitchen remodel, interior non -bearing walls removed 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 involves changes to the exterior main floor and garage $95,000 Page 2 of 2