BLD2024-0535+Application+4.22.2024_3.21.54_PM+4210833CITY OF EDMOill MyBuildingPermit.com
Building Application #1477076 - Malone Lower Level Remodel
Applicant
First Name Last Name Company Name
Cheryl Malone
Number Street Apartment or Suite Number E-mail Address
16123 N Meadowdale Rd cheryl.ann.malone(cDgmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 (206) 930-2910
Contractor
Company Name
R G H INCORPORATED
Number Street Apartment or Suite Number
PO BOX 1214
City State Zip Phone Number Extension
EDMONDS WA 98020 (425) 778-8791
State License Number License Expiration Date UBI # E-mail Address
RGHINI*965DE 4/21/2024 602356054 cheryl.ann.malone(aD_gmail.com
Project Location
Number Street Floor Number Suite or Room Number
16123 MEADOWDALE RD
City Zip Code County Parcel Number
EDMONDS 98026 00513300005003
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
Eric & Cheryl Malone
Number Street Apartment or Suite Number
16123 N MEADOWDALE ROAD
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: 4/22/2024 Submitted By: Cheryl Malone
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1477076 - Malone Lower Level Remodel
Project Contact
Company Name:
Name: Cheryl Malone Email: cheryl.ann.malone@gmail.com
Address: 16123 N Meadowdale Rd Phone #: (206) 930-2910
Edmonds WA 98026
Project Type Activity Type Scope of Work
Single Family Residential Remodel Residence
Project Name: Malone Lower Level Remodel
Description of Work: Modify plumbing in primary bathroom, re -locate walls, add one window.
Project Details
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, lower level basement
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work $10,000
Exterior Changes?
The work does not involve changes to the exterior
Contact Information
Owner Email Address cheryl.ann.malone@gmail.com
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