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BLD2021-1346+Application+9.30.2021_5.54.53_PM+2439091CITY OF EDMONDS MyBuildingPermit.com Building Application #1028243 - Johanson cottage Applicant First Name Last Name Company Name christopher ezzell E WORKSHOP Number Street Apartment or Suite Number E-mail Address 314 First Avenue South chris(�@_eworkshopdesign.com City State Zip Phone Number Extension Seattle WA 98104 2064634941 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 22629 96TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00544300009700 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 Tamara\phillip Lessley Number Street Apartment or Suite Number 22629 96TH AVE W City State Zip EDMONDS WA 98020 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: 9/30/2021 Submitted By: Christopher ezzell Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1028243 - Johanson cottage Project Contact Company Name: E WORKSHOP Name: christopher ezzell Email: chris@eworkshopdesign.com Address: 314 First Avenue South Phone #: 2064634941 Seattle WA 98104 Project Type Activity Type Scope of Work Single Family Residential Structure Addition Residence Project Name: Johanson cottage Description of Work: An addition of a ADU Project Details Increasing Building Height? The height of the building is not increasing. Impervious Surface Adding/Replacing 2,000 square feet or more of hard surface Site Information There are no critical areas. Clearing and Grading Information Total cubic yards of cut and fill 48 Mechanical Included? No 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, addition of a ADU Master Bath, Garage) Valuation Fair Market Value of Construction Work $250,000 Page 2 of 2