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BLD2024-1514+Application+11.18.2024_8.18.01_AM+4548576CITY OF EDMONDS MyBuildingPermit.com Building Application #1558949 - Girls bathroom Applicant First Name Last Name Company Name Lena Kleven Number Street Apartment or Suite Number E-mail Address 734 Fir St mingalen(o)_hotmail.com City State Zip Phone Number Extension Edmonds WA 98020 (360) 821-1423 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 734 FIR ST City Zip Code County Parcel Number EDMONDS 98020 00619401001001 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 John\Lena Kleven Number Street Apartment or Suite Number 734 FIR ST 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: 11/18/2024 Submitted By: Lena Kleven Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1558949 - Girls bathroom Project Contact Company Name: Name: Address: Lena Kleven 734 Fir St Edmonds WA 98020 Email: mingalen@hotmail.com Phone #: (360) 821-1423 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: Girls bathroom Description of Work: Add a small 3/4 bathroom directly above an existing bathroom. Project Details 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 Remodeling Work Exterior Changes? The work does not involve changes to the exterior Contact Information Owner Email Address 2nd floor $30,000 mingalen@hotmail.com Page 2 of 2