BLD20161018.pdfDEVELOPMENT SERVICES
COMMERCIAL & MULTI-FAMILY BUILDING
PERMIT APPLICATION
s1 ,I«l 121 5`h Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 0 Fax 425.771.0221
PLEASE REFER TO THE COMMERCIAL & MULTI-FAMILY BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip): Parcel #:
NO-1- I q Sa3 a'G iia ro5 tM °l 802
Subdivision/Lot #: Project Valuation: $
1-9,-75-J -t3
APPLICANT: Phone: Fax:
+ Fmu Pb1LL8016 4 -7a _ 2-S, $69181
Address (Street, City, State, Zip): E-Mail Address:
1124S NrG UlN,IOv 1 IL !lure Il® (' +5 _ w Cbevt
PROPERTY OWNER: Phone: Pax:
Address (Street, City, State, Zip): E-Mail Address:
-P. IJ . 6613 ! � rvlut i� 0 4 (1
LENDING AGENCY: Phone Fax;
Address (Street, City, State, Zip): E-Mail Address:
CONTRACTOR:* Phone: Fax:
+fr`I T-L (4i 4 l'-- 6B ISI
Address (Street, City, State, Zip): E-Mail Address
19ao< Iv(, owim !{ILL Wrll 9s®53 6iL-49' GAODA UOPIN-W!n
. 1"!, D:,Ae„ 11/30'2![6
WA,
State, License
*Contractor must have a valid City of Edmonds business license prior to 19 t #/ `q1te11341
doing work in the City. Contact the City Clerk's Office at 425.775.2525 City 1iusines License #/Exp. Dater 1ssotb
i�i�,ZS1 y y 2n'6
DETAIL THE SCOPE OF WORK:
PROPOSED NEW SQUARE FOOTAGE FOR THIS PROJECT:
1st Floor: _ �_..::� s ft. 2" Floor _.M:... _:... s . ft. 3r Floor:_. _s . ft.
Basement: dw ._ .,.. s . ft. Gara e mW_ _. ,�.. ITIT...s . ft. Deck/Cvrd Porch: —sq. ft.
Other _W_ .._sC . ft. Retai nin S all: lesNo Fire Sprinklers: Yes No
Occu anc, Grou (s): -------- Occupant Load(s): _m : T e(s) of Construction:
Grading: Cut cu. ds, Fill cu. ds.Cut/Fill in Critical Area: Yes No
I declare under penalty of perjury laws that the information I have provided on this form/application is true, correct and
complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit application to
the City of Edmonds.
CON tt,Q; s
Print Name; B `,t- ZeA*Ati► Owner ❑ Agent/Other E (specify):
Signature: Date: $ 3 7 v t b
FORM E L:\BuiWing New Folder 2010\DONE & x-ferred to LrBuilding-New drive\Form E 2014.docx Updated: 1/17/2014
Snohomish County Online Property Information
M S Snohomish Co
Page 1 of 1
Online Prooerty Information
iselaimer:
maps, data, and information set forth herein ("Data"), are for illustrative purposes only and are not
be considered an official citation to, or representation of, the Snohomish County Code.
nendments and updates to the Data, together with other applicable County Code provisions, may
ply which are not depicted herein. Snohomish County makes no representation or warranty
ncerning the content, accuracy, currency, completeness or quality of the Data contained herein
d expressly disclaims any warranty of merchantability or fitness for any particular purpose. All
rsons accessing or otherwise using this Data assume all responsibility for use thereof and agree tc
1d Snohomish County harmless from and against any damages, loss, claim or liability arising out of
y error, defect or omission contained within said Data. Washington State Law, Ch. 42.56 RCW,
Dhlbits state and local agencies from providing access to lists of individuals intended for use for
rnmerclal purposes and, thus, no commercial use may be made of any Data comprising lists of
tivlduais contained herein.
rioted on: 8/3/2016
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Airports
2412 Aerial Ptwto
http://gis. snoco.org/servlet/com. esri. esrimap.Esrimap?ServiceName=Overview&ClientV ers... 8/3/2016
SYMANC CUCST U"UCW%fU`% ASSCCIATICN
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our 3 buildings and has asked B&J to obtain the necessary permits. The four units in the
building which will be getting the new roof have the following addresses:
19517 — 86'h Ave. W., Edmonds, 98026
19519 — 86th Ave. W., Edmonds, 98026
19521-86 Ih Ave. W., Edmonds, 98026
19523 — 86th Ave. W., Edmonds, 98026
The combined assessed value of the 4 units at January 1, 2016 for the 2017 tax year was
$1,030,500. The value of the work being performed by B&J is $18,752 plus tax.
Rzp�- �4• 011!
Neal M11111ei'Mall
Treasurer
Sterling Crest HOA