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BLD2024-0112+Application+1.24.2024_7.22.28_PM+4008304CITY OF EDMONDS MyBuildingPermit.com Building Application #1430652 - Fiore Master Bath Applicant First Name Last Name Company Name Michele Fiore Haider Construction Number Street Apartment or Suite Number E-mail Address 9401 215th St SW mmkmfiore(a-)_yahoo.com City State Zip Phone Number Extension Edmonds WA 98020 (925) 389-1392 Contractor Company Name Haider Construction Number Street Apartment or Suite Number 5607 244th St. SW City State Zip Phone Number Extension Mountlake Terrace WA 98043 (425) 771-3515 State License Number License Expiration Date UBI # E-mail Address HAIDEC*914DB 4/7/2025 602903374 mmkmfiore(a)yahoo.com Project Location Number Street Floor Number Suite or Room Number 9401 215TH ST SW City Zip Code County Parcel Number EDMONDS 98020 00496100000200 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 Michael & Michele Ttee Fiore Number Street Apartment or Suite Number 9401 215TH ST SW 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: 1/24/2024 Submitted By: Michele Fiore Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1430652 - Fiore Master Bath Project Contact Company Name: Haider Construction Name: Michele Fiore Email: mmkmfiore@yahoo.com Address: 9401 215th St SW Phone #: (925) 389-1392 Edmonds WA 98020 Project Type Activity Type Scope of Work Single Family Residential Structure Addition Residence Project Name: Fiore Master Bath Description of Work: 2nd floor addition to expand and update the master bathroom Project Details Increasing Building Height? The height of the building is not increasing. Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Site Information There are no critical areas. 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, Master Bath, Garage) Valuation Fair Market Value of Construction Work 2nd floor master bath $85,000 Page 2 of 2