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BLD2023-1145+Application+9.11.2023_2.20.58_PM+3775982CITY OF EDMONDS MyBuildingPermit.com Building Application #1364727 - Shemanski Remodel Applicant First Name Last Name Company Name JAN HROMADA LEV Architecture Number Street Apartment or Suite Number E-mail Address PO Box 33024 jan(�Dlevarchitecture.com City State Zip Phone Number Extension Seattle WA 98113 (206) 915-3412 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 23917 76TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00488800600504 Associated Building Permit Number Tenant Name 1372835 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Philip L & Sheri N Ttee Shemanski Number Street Apartment or Suite Number 23917 76TH AVE W City State Zip EDMONDS WA 98026 Certification Statement - The applicant states: 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. 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: 9/11/2023 Submitted By: JAN HROMADA Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1364727 - Shemanski Remodel Project Contact Company Name: LEV Architecture Name: JAN HROMADA Email: jan@levarchitecture.com Address: PO Box 33024 Phone #: (206) 915-3412 Seattle WA 98113 Project Type Single Family Residential Activity Type Scope of Work Interior Alteration Accessory Dwelling Unit Project Name: Shemanski Remodel Description of Work: Owner seeks construction permit for interior remodel of the basement level of his existing single family dwelling to provide an ADU for his daughter. Project Details Accessory Dwelling Unit Information Square feet - primary dwelling unit Square Feet of the accessory dwelling unit. The floor the ADU is located in. Mechanical Included? Mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Additional Project Information Fair Market Value of Remodel Work Contact Information Owner Email Address 1,853 908 1 $185,000 philshemanski@gmail.com Page 2 of 2