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BLD2023-1643+Application+12.26.2023_8.27.43_PM+3971238CITY OF EDMONDS MyBuildingPermit.com IF Building Application #1418434 - Cook Residence Addition Applicant First Name Last Name Company Name Jacob Strobl Strobl Desiqn Number Street Apartment or Suite Number E-mail Address 1122 N J St jacob(�Dstrobldesign.com City State Zip Phone Number Extension Tacoma WA 98403 (206) 661-3622 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 23329 NUMBER LN City Zip Code County Parcel Number EDMONDS 98020 00571300201000 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 Jason M\ Alison R Cook Number Street Apartment or Suite Number 23329 NUMBER LN City State Zip EDMONDS WA 98020 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: 12/26/2023 Submitted By: Jacob Strobl Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1418434 - Cook Residence Addition Project Contact Company Name: Strobl Design Name: Jacob Strobl Email: jacob@strobldesign.com Address: 1122 N J St Phone #: (206) 661-3622 Tacoma WA 98403 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Cook Residence Addition Description of Work: 116sf addition & breezeway addition to existing single family house per plan. 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 7 East side of the house, between the house and detached garage $40,000 Page 2 of 2