BLD2021-0878+Application+6.24.2021_11.39.04_AM+2267697CITY OF EDMONDS MyBuildingPermit.com
Building Application #982463 - VAN DAAL RESIDENCE
Applicant
First Name Last Name Company Name
Lance Hayes Board & Vellum
Number Street Apartment or Suite Number E-mail Address
115 15th Ave E 101 lance(�D_boardandvellum.com
City State Zip Phone Number Extension
Seattle WA 98112 2062746158
Contractor
Company Name
TRUE NORTH LLC
Number Street
Apartment or Suite Number
115 15TH AVE E
100
City
State Zip
Phone Number Extension
SEATTLE
WA 98112
206.422.8727
State License Number
License Expiration Date
UBI # E-mail Address
TRUENNL904ML
9/5/2022
602984112 led(cD_truenorthseattle.com
Project Location
Number Street
Floor Number Suite or Room Number
15631 70TH AVE W
City
Zip Code
County Parcel Number
EDMONDS
98026
00513100002110
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
Steven Van Daal
Number Street Apartment or Suite Number
15631 70TH 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: 6/24/2021 Submitted By: Lance Hayes
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CITY OF EDMONDS Mysu;laingPerrnit.com
Building Application #982463 - VAN DAAL RESIDENCE
Project Contact
Company Name: Board & Vellum
Name: Lance Hayes Email: lance@boardandvellum.com
Address: 115 15th Ave E 101 Phone #: 2062746158
Seattle WA 98112
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: VAN DAAL RESIDENCE
Description of Work: ROOF RENOVATION TO INCLUDE NEW RIDGE SKYLIGHT SYSTEM INTERIOR
RENOVATION TO INCLUDE KITCHEN
Project Details
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
No 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
2nd Floor, Kitchen, Living Room
$90,000
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