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BLD2024-0204_Application_2.14.2024_2.01.51_PM_4060023CITY OF EDMONDS MyBuildingPermit.com Building Application #1442932 - Sheetrock Repair Applicant First Name Last Name Company Name James Young Number Street Apartment or Suite Number E-mail Address 23730 107th PL W jjyoung@frontier.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 542-9614 Contractor Company Name Owner 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 23730 107TH PL W City Zip Code County Parcel Number EDMONDS 98020 00689500003100 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 J Young Number Street Apartment or Suite Number 23730 107TH 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: 2/14/2024 Submitted By: James Young Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Building Application #1442932 - Sheetrock Repair Project Contact Company Name: Name: Address: James Young 23730 107th PL W Edmonds WA 98020 Project Type Single Family Residential Email: jjyoung@frontier.com Phone #: (206) 542-9614 Activity Type Scope of Work Remodel Residence Project Name: Sheetrock Repair Description of Work: Sheetrock Repair, small framing repairs Project Details 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, Basement Master Bath, Garage) Valuation Fair Market Value of Remodeling Work $100 Exterior Changes? The work does not involve changes to the exterior Contact Information Owner Email Address none Page 2 of 2