BLD2022-0132+Application+2.1.2022_4.31.09_PM+2655461CITY OF EDMONDS
Building Application #1085866 - Sowa
Applicant
First Name Last Name
Jason Lane
Number Street Apartment or Suite Number
6404 6404 230th St SW
City State Zip
Mountlake Terrace WA 98043
Contractor
Company Name
JASON LANE INDUSTRIES INC
Number Street
P O BOX 344
City
State Zip
MOUNTLAKE
WA 98043
State License Number
License Expiration Date
JASONLI826MR
7/19/2022
Project Location
Number Street
22903 76TH AVE W
City
Zip Code
EDMONDS
98026
Associated Building Permit Number
Critical areas
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
i
MyBuitdingPermit.com
Company Name
JASON LANE INDUSTRIES INC
E-mail Address
jaysenlane(LD_hotmail.com
Phone Number Extension
2062616229
Apartment or Suite Number
Phone Number Extension
(206)261-6229
UBI # E-mail Address
604256776 jaysenlane(a-)_hotmail.com
County Parcel Number
00441500100500
Tenant Name
Floor Number Suite or Room Number
First Name Last Name or Company Name
Jessica & Tomkinson Emily Sowa
Number Street Apartment or Suite Number
22903 76TH 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: 2/1/2022 Submitted By: Jason Lane
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1085866 - Sowa
Project Contact
Company Name: JASON LANE INDUSTRIES INC
Name: Jason Lane Email: jaysenlane@hotmail.com
Address: 6404 6404 230th St SW Phone #: 2062616229
Mountlake Terrace WA 98043
Project Type Activity Type Scope of Work
Single Family Residential Structure Addition Residence
Project Name: Sowa
Description of Work: Addition of about 615 Sq. Ft. to the rear of the structure.
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
There are no critical areas.
Clearing and Grading Information
Total cubic yards of cut and fill
Mechanical Included?
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 Construction Work
5
22903 76th Ave. West Edmonds Wa. 98026
$2,000,000
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