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BLD2023-0247+Application+2.25.2023_2.18.26_PM+3388480CITY OF EDMONDS nnysuilaingPermit.com Building Application #1274235 - Kappen remodel Applicant First Name Last Name Company Name keith Smith Smith co Ilc Number Street Apartment or Suite Number E-mail Address 1904 3RD AVENUE Suite 409 smith%136(�D_aol.com City State Zip Phone Number Extension Seattle WA 98101 (206) 713-4076 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 22317 93RD PL W City Zip Code County Parcel Number EDMONDS 98020 00544300000801 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 Neil G Kappen Number Street Apartment or Suite Number 22317 93RD 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: 2/25/2023 Submitted By: keith Smith Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1274235 - Kappen remodel Project Contact Company Name: Smith co Ilc Name: keith Smith Email: ksmith@smithco.org Address: 1904 3RD AVENUE Suite 409 Phone #: (206) 713-4076 Seattle WA 98101 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Kappen remodel Description of Work: interior remodel of kitchen 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, 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 kitchen and dining room $25,000 ksmith@smithco.org Page 2 of 2