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BLD2021-0786+Application+6.9.2021_3.04.51_PM+2241292CITY OF EDMONDS MyBuildingPermit.com Building Application #975293 - Fuller interior remodel Applicant First Name Last Name Company Name Alexandra Immel Alexandra Immel Residential Desiqn LLC Number Street Apartment or Suite Number E-mail Address 3439 NW 62nd st. jessica(c),alexandraimmeld esign.com City State Zip Phone Number Extension Seattle WA 98107 2062765761 Contractor Company Name EAGLE REMODEL & CNSTRCTN LLC Number Street Apartment or Suite Number 122 146TH ST SW City State Zip Phone Number Extension LYNNWOOD WA 98087 2069791547 State License Number License Expiration Date UBI # E-mail Address EAGLERC825NZ 2/26/2023 604053715 eagle.reo(b_gmail.com Project Location Number Street Floor Number Suite or Room Number 10631 229TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00610500000400 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 Joshua & Yuma Fuller Number Street Apartment or Suite Number 10631 229TH PL 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: 6/9/2021 Submitted By: Alexandra Immel Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #975293 - Fuller interior remodel Project Contact Company Name: Alexandra Immel Residential Design LLC Name: Alexandra Immel Address: 3439 NW 62nd st. Seattle WA 98107 Project Type Single Family Residential Email: jessica@alexandraimmeldesign.com Phone #: 206-501-3038 Activity Type Scope of Work Remodel Residence Project Name: Fuller interior remodel Description of Work: Interior remodel including 1st floor bathrooms, new kitchen location, remove walls, update flooring. Project Details Mechanical Included? 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 Remodeling Work Exterior Changes? The work does not involve changes to the exterior 1st floor living dining, kitchen family bathroom & primary bathroom $125,000 Page 2 of 2