BLD2021-0500+Application+4.8.2021_12.48.28_AM+2133992CITY OF EDMONDS nnysuilaingPermit.com
Building Application #946547 - Remodel Seattle Vascular Surgery
Applicant
First Name Last Name Company Name
Freeman Fonq Freeman Architects, Inc
Number Street Apartment or Suite Number E-mail Address
PO Box 19296
City State Zip
Seattle WA 98109-1296
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
Number Street
21616 76TH AVE W
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date
freemanfC@_freemanfonq.com
Phone Number Extension
2063993071
Apartment or Suite Number
Phone Number Extension
UBI # E-mail Address
Floor Number Suite or Room Number
1 108
Zip Code County Parcel Number
98026 00461000100101
Tenant Name
Seattle Vascular Surgery Edmonds Office
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
HR ACQUISITION I CORPORATION
Number Street Apartment or Suite Number
3310 ND AVE STE 700
City State Zip
NASHVILLE TN 37203
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: 4/8/2021 Submitted By: Freeman Fong
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CITY OF EDMONDS M BuildingPerrnit.cam
Building Application #946547 - Remodel Seattle Vascular Surgery
Project Contact
Company Name: Freeman Architects, Inc
Name: Freeman Fong Email: freemanf@freemanfong.com
Address: PO Box 19296 Phone #: 2063993071
Seattle WA 98109-1296
Project Type
Nonresidential
Activity Type
Remodel
Project Name: Remodel Seattle Vascular Surgery
Description of Work: Renovate existing office space for new medical clinic.
Project Details
Project Information
Square Feet -Tenant 1,114
Valuation
Fair Market Value of Construction Work $5,000
Exterior Changes?
The work does not involve changes to the exterior
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