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BLD2023-0168+Application+2.9.2023_12.51.26_PM+3361448CITY OF EDMONDS MyBuildingPermit.com Building Application #1266791 - Edmonds home Applicant First Name Last Name Company Name Sofia Bolotin Number Street Apartment or Suite Number E-mail Address 18230 91stAve W Sofikland(aDgmail.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 551-9193 Contractor Company Name SPH CONSTRUCTION INC Number Street Apartment or Suite Number 2505 92ND PL SE City State Zip Phone Number Extension EVERETT WA 98208 (425)870-1292 State License Number License Expiration Date UBI # E-mail Address SPHCOC183ODG 3/24/2023 604091520 yura1203(ab_gmail.com Project Location Number Street Floor Number Suite or Room Number 18230 91 ST AVE W City Zip Code County Parcel Number EDMONDS 98026 27041800200300 Associated Building Permit Number Tenant Name BLD2022-0794 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Sofia & Vladimir Bolotin Number Street Apartment or Suite Number 18230 91 ST 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: 2/9/2023 Submitted By: Sofia Bolotin Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1266791 - Edmonds home Project Contact Company Name: Name: Address: Sofia Bolotin 18230 91 st Ave W Edmonds WA 98026 Email: Sofikland@gmail.com Phone #: (425) 551-9193 Project Type Activity Type Scope of Work Single Family Residential Structure Addition Residence Project Name: Edmonds home Description of Work: 1 st floor remodel, adding 2nd floor and deck, attaching garage and porch. Project Details Increasing Building Height? The height of the building is increasing. Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Site Information Critical Areas Designation has been completed for the parcel 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 1 st floor -remodel, adding 2nd floor and deck, attaching garage and porch. $200,000 Page 2 of 2