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BLD2021-1430+Application+10.15.2021_1.53.15_PM+2466161RECEIVED BLD2021-1430 Oct 15 2021 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT CITY OF EDMONDS Building Application #1035919 - Mike's Plumbing T.I. MyBuildingPermit.com Applicant First Name Last Name Company Name Niqel Starr HST Construction Inc. Number Street Apartment or Suite Number E-mail Address 11512 NE 20th Street nigelstarr(cD_hstconstruction.com City State Zip Phone Number Extension Bellevue WA 98004 (425) 455-1212 Contractor Company Name HST CONSTRUCTION INC Number Street Apartment or Suite Number 11512 NE 20th Street City State Zip Phone Number Extension Bellevue WA 98004 (425) 455-1212 State License Number License Expiration Date UBI # E-mail Address HSTCOC1920KA 4/2/2022 602756526 nigelstarr(cD_hstconstruction.com Project Location Number Street Floor Number Suite or Room Number 21010 70TH AVE W 1 None City Zip Code County Parcel Number EDMONDS 98026 00566900600102 Associated Building Permit Number Tenant Name BLD2021-1290 Mike's Plumbinq Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name MARINEZ RE GROUP LLC Number Street Apartment or Suite Number 21010 70TH AVE W City State Zip EDMONDS WA 98026 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: 10/15/2021 Submitted By: Nigel Starr Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Building Application #1035919 - Mike's Plumbing T.I. Project Contact Company Name: HST Construction, Inc. Name: Jeff Kym Email: jeffkym@hstconstruction.com Address: 11512 NE 20th Street Phone #: 425-691-7506 Bellevue WA 98004 Project Type Activity Type Nonresidential Partial Demolition Project Name: Mike's Plumbing T.I. Description of Work: Interior non-structural demolition in preparation for Tenant Improvment Project Details Demolition Scope Only the interior nonbearing walls are being demolished. Page 2 of 2