BLD2022-0438+Application+4.5.2022_3.52.45_PM+2780568CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1118920 - Dickison Addition
Applicant
First Name Last Name Company Name
Jeff Miller JM Consultinq & Design
Number Street Apartment or Suite Number E-mail Address
14621 106th Avenue NE Jeff.miller(&-jmconsultingdesign.com
City State Zip Phone Number Extension
Bothell WA 98011 4258217518
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
9919 224TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 00450700400001
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
Stephen W & Rebecca L Dickison
Number Street Apartment or Suite Number
9919 224TH S 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: 4/5/2022 Submitted By: Jeff Miller
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1118920 - Dickison Addition
Project Contact
Company Name: JM Consulting &
Design
Name: Jeff Miller Email: jeff.miller@jmconsultingdesign.com
Address: 14621
421 106th Avenue Phone #: 4258217518
NE
Bothell WA 98011
Project Type
Single Family Residential
Activity Type Scope of Work
Structure Addition Residence
Project Name: Dickison Addition
Description of Work: 12'x18" Master Bedroom addition with a new bathroom added to existing interior
space. Adding a 72 s.f. wood deck off bedroom addition
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
25
Extension of Master Bedroom area on north side of
existing house with new bathroom.
$55,000
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