BLD2022-0080+Application+1.21.2022_3.51.25_PM+2609474CITY OF EDMONDS
Building Application #1044637 - Daley Remode
Applicant
First Name Last Name
Auqustus Bukowski
Number Street Apartment or Suite Number
222 3rd Ave S
City State Zip
Edmonds WA 98020
Contractor
Company Name
XCLUSIVE CONSTRUCTION LLC
Number Street
12345 LAKE CITY WAY NE
City State Zip
SEATTLE WA 98125
State License Number License Expiration Date UBI #
XCLUSCL79807 9/27/2023 604606109
Project Location
Number Street
310 DALEY ST
City Zip Code County Parcel Number
EDMONDS 98020 00434202600101
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
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MyBuitdingPermit.com
Company Name
E-mail Address
Auqustus.Bukowski(cD.cardinalfinancial.com
Phone Number Extension
2063809989
Apartment or Suite Number
Phone Number Extension
4252120968
E-mail Address
Auqustus.Bukowski(aD_cardinalfinancial.com
Floor Number Suite or Room Number
First Name Last Name or Company Name
Auqustus Bukowski
Number Street Apartment or Suite Number
222 3rd Ave S
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: 1/21/2022 Submitted By: Augustus Bukowski
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1044637 - Daley Remodel
Project Contact
Company Name:
Name: Augustus Email: Augustus.Bukowski@cardinalfinancial.com
Bukowski
Address: 222 3rd Ave S Phone #: 2063809989
Edmonds WA
98020
Project Type Activity Type Scope of Work
Single Family Residential Remodel Residence
Project Name: Daley Remodel
Description of Remodel Kitchen and bathroom with cabinets, countertops, plumbing fixtures, and
Work: appliances. Repair rotten beam in the garage. Install LVP floors. Paint exterior and interior
of the home.
Project Details
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 Remodeling Work
Exterior Changes?
The work involves changes to the exterior
remodel kitchen and Bathroom, repair rotten beam from
a water leak. Paint, install LVP flooring over existing
flooring.
$35,000
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