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BLD2022-0068+Application+1.20.2022_4.16.36_AM+2623481CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1077261 -Hennessey Residence Applicant First Name Last Name Company Name Dante Palmaffy D. Palmaffy Desiqn Number Street Apartment or Suite Number E-mail Address 12925 47th Dr SE dpalmaffy(�b-aol.com City State Zip Phone Number Extension Everett WA 98208 4253452530 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 19316 83RD PL W City Zip Code County Parcel Number EDMONDS 98026 00572500001900 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 John Hennessey Number Street Apartment or Suite Number 19316 83RD PL W City State Zip EDMONDS WA 98026-6229 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: 1/20/2022 Submitted By: Dante Palmaffy Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1077261 -Hennessey Residence Project Contact Company Name: D. Palmaffy Design Name: Dante Palmaffy Email: dpalmaffy@aol.com Address: 12925 47th Dr SE Phone #: 4253452530 Everett WA 98208 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Hennessey Residence Description of Work: Remodel existing kitchen and dining area. Convert existing enclosed patio into living space that will include new kitchen. Rebuild existing deck with no increase in area. 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 0 Mechanical Included? Mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Work Location Work Description/Location (example: 1 st floor, Remodel existing kitchen and dining. Convert existing Master Bath, Garage) enclosed patio into living space which will include new kitchen. Rebuild existing deck, with no increase in size. Valuation Fair Market Value of Construction Work $40,000 Page 2 of 2