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BLD2024-0326+Application+3.7.2024_10.06.11_AM+4066570CITY OF EDMONDS MyBuildingPermit.com Building Application #1440084 - fraser fir tree remodel Applicant First Name Last Name Company Name iohn lange Lanqe, John Allan Number Street Apartment or Suite Number E-mail Address 13425 164th Ave SE john(.@,lange2020.com City State Zip Phone Number Extension Renton WA 98059 (206) 423-4639 Contractor Company Name JOHN A LANGE Number Street Apartment or Suite Number 13425- 164th Ave SE City State Zip Phone Number Extension Renton WA 98059 (206) 423-4639 State License Number License Expiration Date UBI # E-mail Address JOHNLL*773CH 2/8/2025 600264500 iohn(D_lange2020.com Project Location Number Street Floor Number Suite or Room Number 9107 236TH ST SW 2nd Suite A City Zip Code County Parcel Number EDMONDS 98026 00555300100102 Associated Building Permit Number Tenant Name Vacant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name * Last Name or Company Name FRASER FIR TREE LLC Number Street Apartment or Suite Number 433 SPRAGUE ST 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: 3/7/2024 Submitted By: John lange Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1440084 - fraser fir tree remodel Project Contact Company Name: Lange, John Allan Name: john lange Email: john@lange2020.com Address: 13425 164th Ave SE Phone #: (206) 423-4639 Renton WA 98059 Project Type Mixed Use Activity Type Remodel Project Name: fraser fir tree remodel Description of Work: repair fire damage; add bathroom Project Details Project Information Square Feet -Tenant 1,350 Valuation Fair Market Value of Construction Work $90,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2