BLD2023-0533+Application+5.1.2023_12.12.09_PM+3315541CITY OF EDMONDS MyBuildingPermit.com
Building Application #1254243 - Rodriguez/Jacobs Addition
Applicant
First Name Last Name Company Name
Cassandra Rodriquez (Jacobs)
Number Street Apartment or Suite Number E-mail Address
7709 200th St SW cassrod4(o)_yahoo.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 218-9073
Contractor
Company Name
Owner
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
7709 200TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 27041900103700
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
Cassandra Rodriquez (Jacobs)
Number Street Apartment or Suite Number
7709 200TH 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: 5/1/2023 Submitted By: Cassandra Rodriguez (Jacobs)
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1254243 - Rodriguez/Jacobs Addition
Project Contact
Company Name:
Name: Cassandra Rodriguez (Jacobs) Email: cassrod4@yahoo.com
Address: 7709 200th St SW Phone #: (425) 218-9073
Edmonds WA 98026
Project Type Activity Type Scope of Work
Single Family Residential Structure Addition Residence
Project Name: Rodriguez/Jacobs Addition
Description of Work: Bedroom and bathroom add -on to residential property.
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 50
Mechanical Included?
Mechanical work will occur during this project.
Plumbing Included?
Plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1st floor, Bedroom and bathroom addition.
Master Bath, Garage)
Valuation
Fair Market Value of Construction Work $80,000
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