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BLD2022-0207+Application+2.17.2022_10.00.00_AM+2686959CITY OF EDMONDS MyBuilaingPermit.com Building Application #1078110 - Monogoran + Bailey Residence Applicant First Name Last Name Company Name Blake Bethards Bethards Architecture + Design Number Street Apartment or Suite Number E-mail Address 2130 6th ave W. blake(L-D_bethardsarchitecture.com City State Zip Phone Number Extension Seattle WA 98119 3104631013 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 23419 84TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00576700002511 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 Ragavan & Bailev Daniel Manoqaran Number Street Apartment or Suite Number 23419 84TH 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: 2/17/2022 Submitted By: Blake Bethards Page 1 of 2 CITY OF EDMONDS MyBu;laingPerrnit.com Building Application #1078110 - Monogoran + Bailey Residence Project Contact Company Name: Bethards Architecture + Design Name: Blake Bethards Address: 2130 6th ave W. Seattle WA 98119 Project Type Single Family Residential Email: blake@bethardsarchitecture.com Phone #: 3104631013 Activity Type Scope of Work Structure Addition Residence Project Name: Monogoran + Bailey Residence Description of Work: NEW 286 SF FIRST FLOOR ADDITION + NEW 432 SF PATIO W/ ROOF TO (E) 2,998 SF SINGLE FAMILY RESIDENCE W/ 638 SF ATTACHED GARAGE Project Details Increasing Building Height? The height of the building is not increasing. Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Site Information There are no critical areas. Clearing and Grading Information Total cubic yards of cut and fill 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 Construction Work 21 At grade and in rear yard of existing residence $200,000 Page 2 of 2