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BLD2022-0865+Application+7.1.2022_11.28.47_AM+2966901CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1167614 - Fuller interior remodel Applicant First Name Last Name Company Name Alexandra Immel Alexandra Immel Residential Desiqn LLC Number Street Apartment or Suite Number E-mail Address 5325 Ballard Ave NW 210 aexandra(cD_alexandraimmeldesign.com City State Zip Phone Number Extension Seattle WA 98107 (206) 276-5761 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 10631 229TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00610500000400 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 Joshua & Yuma Fuller Number Street Apartment or Suite Number 10631 229TH 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: 7/1/2022 Submitted By: Alexandra Immel Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1167614 - Fuller interior remodel Project Contact Company Alexandra Immel Name: Residential Design LLC Name: Alexandra Immel Email: aexandra@alexandraimmeldesign.com Address: 3439 NW 62nd ST. Phone #: (206) 276-5761 Seattle WA 98107 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: Fuller interior remodel Description of Work: Interior remodel of 1 st floor, new kitchen location, bathrooms. Project Details 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 Remodeling Work Exterior Changes? The work does not involve changes to the exterior Contact Information Owner Email Address 1stfloor: bathrooms, living spaces. Basement. $125,000 Jessica@alexandraimmeldesign.com joshua.fuller8@gmail.com Page 2 of 2