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BLD2021-1327+Application+9.28.2021_9.04.26_AM+2430503CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1025715 - Killgore Garage/Deck Addition Applicant First Name Last Name Company Name Selena Fitch Fitch & Company Number Street Apartment or Suite Number E-mail Address 12811 8TH Ave W A205 selena@fitchdesigncompany.com City State Zip Phone Number Extension Everett WA 98204 4254818190 Contractor Company Name CORNERSTONE CONST GROUP INC Number Street Apartment or Suite Number 12024 Juanita Drive NE City State Zip Phone Number Extension KIRKLAND WA 98034 4258149588 State License Number License Expiration Date UBI # E-mail Address CORNECG877P5 11/27/2021 603323239 eric@cornerstonecg.org Project Location Number Street Floor Number Suite or Room Number 21420 95TH PL W City Zip Code County Parcel Number EDMONDS 98020 00528100001600 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 James A & Alison E Killgore Number Street Apartment or Suite Number 21420 95TH PL 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: 9/28/2021 Submitted By: Selena Fitch Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #1025715 - Killgore Garage/Deck Addition Project Contact Company Name: Fitch & Company Name: Selena Fitch Email: sarabeth@fitchdesigncompany.com Address: 12811 8TH Ave W Phone #: 4254818190 A205 Everett WA 98204 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Killgore Garage/Deck Addition Description of Work: Converting existing carport into enclosed garage with new waterproof deck in existing location. 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. 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 Construction Work Garage and Rear Deck $20,000 Page 2 of 2