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BLD2021-0081+Application+1.22.2021_1.31.58_PM+2002366CITY OF EDMONDS MyBuildingPermit.com Building Application #908820 - UNIT 207 TENANT IMPROVEMENT Applicant First Name Last Name Company Name Thomas James Arbutus builders Ilc Number Street Apartment or Suite Number E-mail Address 2330 12th ave south thomas(D_arbutusbuilders.com City State Zip Phone Number Extension Seattle WA 98144 2064865370 Contractor Company Name Arbutus builders llc Number Street Apartment or Suite Number 2330 12th ave south City State Zip Phone Number Extension Seattle WA 98144 (206)486-5370 State License Number License Expiration Date UBI # E-mail Address ARBUTBL827QL 11/13/2020 604345789 thomas(cD_arbutusbuilders.com Project Location Number Street Floor Number Suite or Room Number 7500 212TH ST SW 2 207 City Zip Code County Parcel Number EDMONDS 98026 00738800020700 Associated Building Permit Number Tenant Name BALANCED LIVING THERAPY Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name TRITONS PROPERTY INVESTMENT LLC Number Street Apartment or Suite Number PO BOX 1155 City State Zip LYNNWOOD WA 98046 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: 1/22/2021 Submitted By: Thomas James Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #908820 - UNIT 207 TENANT IMPROVEMENT Project Contact Company Name: Arbutus builders Ilc Name: Thomas James Email: thomas@arbutusbuilders.com Address: 2330 12th ave s Phone #: 2064865370 Seattle WA 98144 Project Type Nonresidential Activity Type Tenant Improvement Project Name: UNIT 207 TENANT IMPROVEMENT Description of Work: Build 4 partition walls to create 4 separate offices Project Details Project Information Square Feet -Tenant 560 Use Information Use - existing OFFICE Use - proposed OFFICE Valuation Fair Market Value of Construction Work $10,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2