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BLD2023-0339+Application+3.17.2023_12.05.31_PM+3428031CITY OF EDMONDS MyBuildingPermit.com IF Building Application #1284767 - Mayberry Code Compliance Applicant First Name Last Name Company Name Marci Kastner Marci Kastner Architect Number Street Apartment or Suite Number E-mail Address 9615 24th Ave N.W. marci(.@_marcikastner.com City State Zip Phone Number Extension Seattle WA 98117 (206) 783-7330 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date UBI # Number Street 1402 10TH PL N City Zip Code County Parcel Number EDMONDS 98020 00595100000702 Associated Building Permit Number Tenant Name COD2022-0222 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Ross L T Mayberry Number Street Apartment or Suite Number 1402 10TH PL N 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: 3/17/2023 Submitted By: Marci Kastner Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1284767 - Mayberry Code Compliance Project Contact Company Name: Marci Kastner Architect Name: Marci Kastner Email: marci@marcikastner.com Address: 9615 24th Ave N.W. Phone #: (206) 783-7330 Seattle WA 98117 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Mayberry Code Compliance Description of Work: Provide drawings and permit application as requested by City of Edmonds for interior work already completed 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 does not involve changes to the exterior Contact Information Owner Email Address Basement/ground floor level $5,000 rossmayberryphd@hotmail.com Page 2 of 2