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BLD2020-0772+Application+7.29.2020_1.09.11_PMCITY OF EDMONDS nnyst,ilaingPermit.com Building Application #836111 -Edmonds City Hall Applicant First Name Last Name Company Name Geoff Brunson SEATTLE GLASS INC Number Street Apartment or Suite Number E-mail Address 13421 Ambaum Blvd. S.W. geoffb(D_seattleglass.com City State Zip Phone Number Extension SEATTLE WA 98146 (206)932-7628 Contractor Company Name SEATTLE GLASS INC Number Street Apartment or Suite Number 13421 AMBAUM BLVD SW City State Zip Phone Number Extension SEATTLE WA 98146 (206)932-7628 State License Number License Expiration Date UBI # E-mail Address SEATTG1134PB 9/28/2020 600348820 geoffb(cb_seattleglass. com Project Location Number Street Floor Number Suite or Room Number 121 5TH AVE 1-3 none City Zip Code County Parcel Number EDMONDS 98020 00434400100300 Associated Building Permit Number Tenant Name Edmonds City Hall Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS CITY OF Number Street Apartment or Suite Number 121 5TH AVE N City State Zip EDMONDS WA 98020-3146 Certification Statement - The applicant states: I 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. I 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: 7/29/2020 Submitted By: Geoff Brunson Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #836111 -Edmonds City Hall Project Contact Company Name: SEATTLE GLASS INC Name: Geoff Brunson Email: geoffb@seattleglass.com Address: 13421 Ambaum Blvd. S.W. Phone #: (206)932-7628 SEATTLE WA 98146 Project Type Nonresidential Activity Type Tenant Improvement - Change of Use Project Name: Edmonds City Hall Description of Work: Remove and Replace windows on East side of build, for energy efficiency. Project Details Project Information Square Feet -Tenant 2,200 Page 2 of 2