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BLD2021-1063+Application+8.1.2021_12.33.44_AM+2332323CITY OF EDMONDS Building Application #997794 - Van Ausdal Applicant First Name Last Name Benjamin Diffenderfer Number Street Apartment or Suite Number 2709 128th St SE City State Zip Everett WA 98208 Contractor Company Name INSPIRED SPACES Number Street 2709 128th St SE City State Zip EVERETT WA 98208 State License Number License Expiration Date UBI # INSPIS*830PO 10/20/2021 604165889 Project Location i MyBuitdingPermit.com Company Name INSPIRED SPACES E-mail Address ben(D,inspiredspacesnw.com Phone Number Extension 2067153803 Apartment or Suite Number Phone Number Extension (206)913-9531 E-mail Address kyla(cDinspiredspacesnw.com Number Street Floor Number Suite or Room Number 529 HOLLY DR City Zip Code County Parcel Number EDMONDS 98020 27032500207400 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 TYLIN & CODY VAN AUSDAL Number Street Apartment or Suite Number 529 HOLLY DR 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: 8/1/2021 Submitted By: Benjamin Diffenderfer Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #997794 - Van Ausdal Project Contact Company Name: INSPIRED SPACES Name: Benjamin Diffenderfer Email: ben@inspiredspacesnw.com Address: 2709 128th St SE Phone #: 2067153803 Everett WA 98208 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: Van Ausdal Description of We will be adding 2 windows to the south exterior wall, reducing the size of an exterior door Work: on the west wall and increasing the size of a window on the south wall. All changes will be on the second/main floor of the home. Project Details Mechanical Included? No mechanical work will occur during this project. Plumbing Included? No plumbing work will occur during this project. Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Valuation Fair Market Value of Remodeling Work Exterior Changes? The work involves changes to the exterior Main floor - 2nd floor $13,500 Page 2 of 2