BLD2023-0850+Application+7.10.2023_8.23.04_AM+3649306CITY OF EDMONDS MyBuildingPermit.com
Building Application #1342836 - Nordstorm/Cook
Applicant
First Name Last Name Company Name
Larry Thibeault Lake Stevens Desiqn
Number Street Apartment or Suite Number E-mail Address
732 131stAve NE rsalarry(cD_hotmail.com
City State Zip Phone Number Extension
Lake Stevens WA 98258 (425) 209-7600
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State
Zip
Phone Number Extension
State License Number
License Expiration
Date UBI #
E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
22122 92ND AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00391800000400
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
David Cook
Number Street Apartment or Suite Number
22122 92ND AVE W
City State Zip
EDMONDS WA 98020-4502
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: 7/10/2023 Submitted By: Larry Thibeault
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1342836 - Nordstorm/Cook
Project Contact
Company Name: Lake Stevens Design
Name: Larry Thibeault Email: rsalarry@hotmail.com
Address: 732 131 st Ave NE Phone #: (425) 209-7600
Lake Stevens WA 98258
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: Nordstorm/Cook
Description of Work: House was gutted by fire. Some structual member need replacement/sistering. Complete
interior replacement. New deck replacement on rear of house
Project Details
Mechanical Included?
Mechanical work will occur during this project.
Plumbing Included?
No plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1 st floor, House was partially destroyed by fire. Is gutted and
Master Bath, Garage) needs some structural work and complete new interion
and new deck.
Valuation
Fair Market Value of Remodeling Work $75,000
Exterior Changes?
The work does not involve changes to the exterior
Contact Information
Owner Email Address
Larry Thibeault d/b/a Lake Stevens Design.
425-209-7600 or rsalarry@hotmail.com
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