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BLD2023-0182+Application+2.13.2023_7.09.02_PM+3365454RECEIVED BLD2023-0182 Feb 14 2023 CITY OF EDMONDS CITY OF EDMONDS MyBuildingPermit.com DEVELOPMENT SERVICES DEPARTMENT Building Application #1267758 - Family Room Addition Applicant First Name Last Name Company Name Mariko Blessing Number Street Apartment or Suite Number E-mail Address 9825 240th PI SW mblessing98020@gmail.com City State Zip Phone Number Extension Edmonds WA 98020 (541) 554-3271 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 9825 240TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00446600000200 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 Mariko & Colin Blessing Number Street Apartment or Suite Number 9825 240TH PL SW 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: 2/13/2023 Submitted By: Mariko Blessing Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1267758 - Family Room Addition Project Contact Company Name: Name: Address: Mariko Blessing 9825 240th PI SW Edmonds WA 98020 Project Type Single Family Residential Email: mblessing98020@gmail.com Phone #: (541) 554-3271 Activity Type Scope of Work Structure Addition Residence Project Name: Family Room Addition Description of Work: 300sf family room addition with half bath 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 15 300sf family room addition at back of house (off existing family room) $44,499 Page 2 of 2