BLD2021-1163+Application+8.23.2021_2.12.44_PM+2371044CITY OF EDMONDS
Building Application #1009421 -Change of Use
Applicant
First Name Last Name
Quan Nguyen
Number Street Apartment or Suite Number
9649 Firdale Ave
City State Zip
edmonds WA 98020
Contractor
Company Name
Owner
Number Street
City
State License Number
Project Location
Number Street
9617 FIRDALE AVE
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date UBI #
Zip Code County Parcel Number
98020 00449900000100
Tenant Name
Quan Nquven
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
MyBuildingPermit.com
Company Name
TAO MOVEMENT
E-mail Address
NGUYEN91 QUAKD_GMAIL.COM
Phone Number Extension
2067340525
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
1 9649
First Name Last Name or Company Name
FIRDALE ASSOCIATES LLC
Number Street Apartment or Suite Number
9500 ROOSEVELT WAY NE 100
City State Zip
SEATTLE WA 98115
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: 8/23/2021 Submitted By: Quan Nguyen
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #1009421 -Change of Use
Project Contact
Company Name: TAO MOVEMENT
Name: Quan Nguyen Email: NGUYEN91 QUAN@GMAIL.COM
Address: 9649 Firdale Ave Phone #: 2067340525
edmonds WA 98020
Project Type
Nonresidential
Activity Type
Tenant Improvement - Change of Use
Project Name: Change of Use
Description of Work: Change of Use - Previously a Mattress Store, Now Holistic Health Center /
Personal Training
Project Details
Project Information
IBC Occupancy type B
Square Feet -Tenant 950
Use Information
This is a change of use.
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