BLD2021-0558+Application+4.16.2021_7.17.39_AM+2149044CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #950265 - Consultation rooms demolition
Applicant
First Name Last Name Company Name
TIM THOMAS IRG Physical Therapy
Number Street Apartment or Suite Number E-mail Address
4220 132nd St SE, 202 tim.thomas@irgpt.com
City State Zip Phone Number Extension
Mill Creek WA 98012 4254170583
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
7315 212TH ST SW
City Zip Code
EDMONDS 98026
Associated Building Permit Number
BLD2016-1179
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
UBI # E-mail Address
Floor Number
1
County Parcel Number
00566900500600
Tenant Name
IRG PHYSICAL THERAPY
Suite or Room Number
104
First Name Last Name or Company Name
GAHC4 EDMONDS WA MOB LLC
Number Street Apartment or Suite Number
18191 VON KARMAN AVE
City State Zip
IRVINE CA 92612
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: 4/16/2021 Submitted By: TIM THOMAS
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Building Application #950265 - Consultation rooms demolition
Project Contact
Company Name: IRG Physical Therapy
Name: TIM THOMAS Email: tim.thomas@irgpt.com
Address: 4220 132nd St SE, 132nd St SE, Phone #: 4254170583
Mill Creek WA 98012
Project Type Activity Type
Nonresidential Partial Demolition
Project Name: Consultation rooms demolition
Description of Work: We will be demolishing two interior rooms
Project Details
Demolition Scope
Only the interior nonbearing walls are being
demolished.
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