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BLD2022-0632+Application+5.14.2022_11.37.53_AM+2763522CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1114373 - Marriott master bath Applicant First Name Last Name Company Name Briqham Marriott Number Street Apartment or Suite Number E-mail Address 20630 77th PI W brigham marriott(D_yahoo.com City State Zip Phone Number Extension Edmonds WA 98026 2069109256 Contractor Company Name Owner Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 20630 77TH PL W City Zip Code County Parcel Number EDMONDS 98026 00595800002500 Associated Building Permit Number Tenant Name 1114373 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Nataliya\ Briqham Marriott Number Street Apartment or Suite Number 20630 77TH PL 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: 5/14/2022 Submitted By: Brigham Marriott Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1114373 - Marriott master bath Project Contact Company Name: Name: Address: Brigham Marriott 20630 77th PI W Edmonds WA 98026 Project Type Single Family Residential Email: brigham_marriott@yahoo.com Phone #: 2069109256 Activity Type Scope of Work Structure Addition Residence Project Name: Marriott master bath Description of Work: 1 st floor addition of master bath and walk in closet 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? No 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 17 1st floor master bath and walk in closet addition $20,000 Page 2 of 2