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BLD2023-1032+Application+8.15.2023_2.37.30_PM+3727187CITY OF EDMONDS MyBuildingPermit.com Building Application #1362348 - Kindness Elevator Applicant First Name Last Name Company Name Katherine Zeim K Zeim Desiqn Number Street Apartment or Suite Number E-mail Address 1329 31348 kathyzeim�bgmail.com City State Zip Phone Number Extension Seattle WA 98103 (206) 850-9323 Contractor Company Name ETHAN HOME RPR & RMLDNG LLC Number Street Apartment or Suite Number 1202 300th St NE City State Zip Phone Number Extension Stanwood WA 98292 (425) 293-7913 State License Number License Expiration Date UBI # E-mail Address ETHANHR934PB 10/2/2023 602727916 milt(cDethanhomerepair.com Project Location Number Street Floor Number Suite or Room Number 212 SKYLINE DR City Zip Code County Parcel Number EDMONDS 98020 00423000005800 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 Gary Kindness Number Street Apartment or Suite Number 212 SKYLINE 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: 8/15/2023 Submitted By: Katherine Zeim Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1362348 - Kindness Elevator Project Contact Company Name: K Zeim Design Name: Katherine Zeim Email: kathyzeim@gmail.com Address: 1329 31348 Phone #: (206) 850-9323 Seattle WA 98103 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Kindness Elevator Description of Work: Create elevator shaft, remodel existing bathroom, laundry room, and pantry 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 Contact Information Owner Email Address Lower Floor - bathroom/laundry area. Upper Floor - Pantry/laundry area $45,000 gskindness@gmail.com Page 2 of 2