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BLD2023-1027+Application+8.14.2023_9.51.09_AM+3716612CITY OF EDMONDS MyBuildingPermit.com Building Application #1360206 - Kitchen Remodel Applicant First Name Last Name Company Name Trisha Braden Number Street Apartment or Suite Number E-mail Address 6605 224th ST Sw trish.braden(o-)_gmail.com City State Zip Phone Number Extension Mountlake terrace WA 98043 (541) 621-8890 Contractor Company Name COUNTRY CARPENTER LLC Number Street Apartment or Suite Number 2929 LARCH WAY City State Zip Phone Number Extension LYNNWOOD WA 98036 (541) 621-8890 State License Number License Expiration Date UBI # E-mail Address COUNTCL850QB 11/7/2023 603546070 trish.braden(a-)gmail.com Project Location Number Street Floor Number Suite or Room Number 8831 204TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00635400001800 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 Darla & Matthew Tillman Number Street Apartment or Suite Number 8831 204TH ST SW 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: 8/14/2023 Submitted By: Trisha Braden Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1360206 - Kitchen Remodel Project Contact Company Name: Name: Trisha Braden Email: trish.braden@gmail.com Address: 6605 224th ST Sw Phone #: (541) 621-8890 Mountlake terrace WA 98043 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: Kitchen Remodel Description of Work: Remodel main Floor kitchen, Plumbing will be moved if necessary to accommodate new Footprint, Move a non load bearing wall. relocate counters 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, 1 st Floor Kitchen Master Bath, Garage) Valuation Fair Market Value of Remodeling Work $50,000 Exterior Changes? The work involves changes to the exterior Contact Information Owner Email Address trish.braden@gmail.com Page 2 of 2