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BLD2024-0515+Application+4.17.2024_9.02.32_AM+4173184CITY OF EDMONDS MyBuildingPermit.com Building Application #1467780 - Addition Applicant First Name Last Name Company Name HECTOR VIGNA Number Street Apartment or Suite Number E-mail Address 551 s sullivan st c vignaarq anhotmail.com City State Zip seatte WA 98108 Contractor Company Name Contractor Unknown Number Street Phone Number Extension (206) 779-2967 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 8302 218TH ST SW City Zip Code County Parcel Number EDMONDS 98026 27043000108300 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 Minoo Anklesaria Number Street Apartment or Suite Number 8302 218TH 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: 4/17/2024 Submitted By: HECTOR VIGNA Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1467780 - Addition Project Contact Company Name: Name: HECTOR VIGNA Email: vignaarq@hotmail.com Address: 551 s sullivan st c Phone #: (206) 779-2967 seatte WA 98108 Project Type Activity Type Single Family Residential Structure Addition Project Name: Addition Description of Work: Addition new bedroom and bathroom 404 sf 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? No 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 14 Scope of Work Residence Addition of a Bedroom with bathroom $60,000 Page 2 of 2