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BLD2021-1418+Application+10.13.2021_1.18.30_PM+2460637CITY OF EDMONDS MyBuildingPermit.com Building Application #1034370 - Alexander Home Remodeling Applicant First Name Last Name Company Name Steve Hall Revive Properties LLC Number Street Apartment or Suite Number E-mail Address 6121 NE 175th St B402 reviveproperties(cDcomcast.net City State Zip Phone Number Extension Kenmore WA 98028 3609613638 Contractor Company Name J C KILLIN GENERAL CONTRACTOR Number Street Apartment or Suite Number 15310 47th PI. W City State Zip Phone Number Extension Lynnwood WA 98087 (425) 754-4915 State License Number License Expiration Date UBI # E-mail Address JCKILCK812LE 6/5/2023 602899473 lon(D_ickillin.com Project Location Number Street Floor Number Suite or Room Number 17504 72ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00456000001000 Associated Building Permit Number Tenant Name CRA2021-0100 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Travis & Claire Alexander Number Street Apartment or Suite Number 17504 72ND AVE W 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: 10/13/2021 Submitted By: Steve Hall Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1034370 - Alexander Home Remodeling Project Contact Company Name: Revive Properties LLC Name: Steve Hall Email: reviveproperties@comcast.net Address: 6121 NE 175th St B402 Phone #: 3609613638 Kenmore WA 98028 Project Type Activity Type Scope of Work Single Family Residential Structure Addition Residence Project Name: Alexander Home Remodeling Description of Work: Complete home remodel. Additions to the 1st and 2nd floor living spaces. Add 96 sf to garage. Add 1 bathroom and reconfigure other bathroom areas. Add to deck. 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 The site has critical areas. Clearing and Grading Information Total cubic yards of cut and fill 25 Mechanical Included? Mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Work Location Complete remodel of the existing home and adding 340 Work Description/Location (example: 1 st floor, sf to the existing 1 st floor, 326sf to main floor, and 96 sf Master Bath, Garage) to garage. Roof structure will be changed. Less than 250 sf in impervious surfaces Valuation Fair Market Value of Construction Work $250,000 Page 2 of 2