BLD2021-0897+Application+6.28.2021_9.13.01_AM+2271925CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #983517 - Dusted Valley Tenant Improvement
Applicant
First Name Last Name Company Name
Scott Boyer Mithun
Number Street Apartment or Suite Number E-mail Address
12216 Corliss Avenue North boverscott1 @gmail.com
City State Zip Phone Number Extension
Seattle WA 98133 2062350935
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
201 MAIN ST
City Zip Code County Parcel Number
EDMONDS 98020 00434400700700
Associated Building Permit Number Tenant Name
BLD2016-0506 Dusted Vallev
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
1 102
First Name Last Name or Company Name
EDMONDS 2020 LLC
Number Street Apartment or Suite Number
307 BELL ST
City State Zip
EDMONDS WA 98020
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: 6/28/2021 Submitted By: Scott Boyer
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Building Application #983517 - Dusted Valley Tenant Improvement
Project Contact
Company Name: Mithun
Name: Scott Boyer Email: boyerscott1 @gmail.com
Address: 12216 Corliss Avenue North Phone #: 2062350935
Seattle WA 98133
Project Type Activity Type Scope of Work
Mixed Use New Construction Primary Building
Project Name: Dusted Valley Tenant Improvement
Description of Interior remodel of 1,952 SF of existing ground floor space in the Edmonds Mixed Use
Work: Building at 2nd and Main Street. T.I. space to be a wine tasting & sales establishment
named "Dusted Valley"
Project Details
Project Information
IBC Occupancy type A-2
Construction Type
VA Sprink Sub
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