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BLD2023-1300+Application+10.18.2023_2.09.59_PM+3848259CITY OF EDMONDS MyBuildingPermit.com IF Building Application #1391881 - 9222 Edmonds Remodel Applicant First Name Last Name Company Name Jennifer Kim Yen Desiqn, Inc. Number Street Apartment or Suite Number E-mail Address 17191 Bothell Way NE B104 Contact(�Dyendes.com City State Zip Phone Number Extension Lake Forest Park WA 98155 (206) 432-1111 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 9222 183RD PL SW City Zip Code County Parcel Number EDMONDS 98020 00588200000300 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name Elizabeth G & Macilvaine Caleb Macilvaine Number Street Apartment or Suite Number 9222 183RD PL SOUTHWEST 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: 10/18/2023 Submitted By: Jennifer Kim Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1391881 - 9222 Edmonds Remodel Project Contact Company Name: Yen Design, Inc. Name: Jennifer Kim Email: Contact@yendes.com Address: 17191 Bothell Way NE B104 Phone #: (206) 432-1111 Lake Forest Park WA 98155 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: 9222 Edmonds Remodel FIRST FLOOR AND BASEMENT RENOVATION OF AN EXISTING SFR. NEW 526 SQ-FT Description of UNCOVERED FRONT DECK AND NEW 422 SQ-FT COVERED BACK PATIO. Work: CONVERTING PART OF ATTACHED GARAGE INTO LIVING SPACE. CREATING A WET BAR IN BASEMENT. BEDROOM, BATHROOM REMODEL IN BASEMENT. KITCHEN, BEDROOM, BATHROOM REMODEL ON MAIN LEVEL. 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 involves changes to the exterior Contact Information Owner Email Address Basement, 1 st floor master bath $115,125 caleb.macilvaine@gmail.com Page 2 of 2