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BLD2023-1095+Application+8.31.2023_1.41.58_PM+3758989CITY OF EDMONDS MyBuildingPermit.com Building Application #1370225 - James and Heather addition Applicant First Name Last Name Company Name James Rust Number Street Apartment or Suite Number E-mail Address 19803 81 st PI W james(LD_tri-countycabulance.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 571-2279 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 19803 81 ST PL W City Zip Code County Parcel Number EDMONDS 98026 00603400000900 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 James Rust Number Street Apartment or Suite Number 19803 81 st PI 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: 8/31/2023 Submitted By: James Rust Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1370225 - James and Heather addition Project Contact Company Name: Name: Address: James Rust 19803 81st PI W Edmonds WA 98026 Project Type Single Family Residential Email: james@tri-countycabulance.com Phone #: (206) 571-2279 Activity Type Scope of Work Structure Addition Residence Project Name: James and Heather addition Adition to the back of the house, adding master bedroom and bath. Adding living room. Description of Work: Making current kitchen larger and adding a garge that comes out 5ft. Also adding an eave. 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 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 Adding to the back of the house for a new master bedroom, bathroom, living room, and making the kitchen bigger. also a garge that comes out 5 feet $200,000 Page 2 of 2