BLD2021-1106+Application+8.9.2021_3.14.32_PM+2347210CITY OF EDMONDS
Building Application #1003268 - Rose Remodel
Applicant
First Name Last Name
Trevor Rose
Number Street Apartment or Suite Number
537 5th Ave S
City State Zip
Edmonds WA 98020
Contractor
Company Name
Owner
Number Street
City State Zip
State License Number License Expiration Date UBI #
Project Location
Number Street
537 5TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 00477300000100
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
i
MyBuitdingPermit.com
Company Name
E-mail Address
trevorrose80(@_hotmail.com
Phone Number Extension
2063105836
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
First Name Last Name or Company Name
Trevor Rose
Number Street Apartment or Suite Number
537 5TH AVE S
City State Zip
EDMONDS WA 98020-3458
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: 8/9/2021 Submitted By: Trevor Rose
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CITY OF EDMONDS
Building Application #1003268 - Rose Remodel
Project Contact
Company Name:
Name: Trevor Rose Email: trevorrose80@hotmail.com
Address: 537 5th Ave S Phone #: 2063105836
Edmonds WA 98020
Project Type
Single Family Residential
i
MyBuildingPermit.com
Activity Type Scope of Work
Remodel Residence
Project Name: Rose Remodel
Description of Work: Remove existing bedroom and replace with new bathroom, laundry, and expanded
closet space.
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,
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work
Exterior Changes?
The work does not involve changes to the exterior
Removal of existing interior bedroom and replace with a
new bathroom/expanded closet space.
$15,000
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