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BLD2023-1241+Application+10.4.2023_4.38.07_PM+3821905CITY OF EDMONDS nn BtaildingPermit.com Building Application #1381072 - Dobbins Laundry Room Interior Remodel Applicant First Name Last Name Company Name Rhiana Herman Northliqht Custom Builders LLC. Number Street Apartment or Suite Number E-mail Address 9800 Harbour PI Suite 201 rhiana@northlightcustom.com City State Zip Phone Number Extension Mukilteo WA 98275 (425) 478-7220 Contractor Company Name NORTHLIGHT CUSTOM BUILDERS LLC Number Street Apartment or Suite Number 9800 Harbour PI Suite 201 City State Zip Phone Number Extension Mukilteo WA 98275 (425) 478-7220 State License Number License Expiration Date UBI # E-mail Address NORTHCB862D6 3/26/2024 603383422 rhiana(cb_northlightcustom.com Project Location Number Street Floor Number Suite or Room Number 18921 94TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00434600004702 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 Lance & Rachel Dobbins Number Street Apartment or Suite Number 18921 94TH AVE 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: 10/4/2023 Submitted By: Rhiana Herman Page 1 of 2 i CITY OF EDMONDS MyBuildingPermft.com Building Application #1381072 - Dobbins Laundry Room Interior Remodel Project Contact Company Name: Northlight Custom Builders LLC. Name: Rhiana Herman Email: rhiana@northlightcustom.com Address: 9800 Harbour PI Suite 201 Phone #: (425) 478-7220 Mukilteo WA 98275 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Dobbins Laundry Room Interior Remodel Description of Work: Remodel existing laundry room as per designed layout. Move appliances to new location, add a 1/2 bath, and install cabinets. No exterior work to be done. 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 First floor laundry room $55,000 radobbins@yahoo.com Page 2 of 2