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BLD2021-1119+Application+8.12.2021_10.02.16_AM+2353104CITY OF EDMONDS M BuildingPermit.com Building Application #1004853 - Swedish Edmonds OR Flooring and OR #6 Applicant First Name Last Name Company Name Devin Saylor Botesch, Nash & Hall Architects Number Street Apartment or Suite Number E-mail Address 2727 Oakes Avenue 100 devin(�D_bnharch.com City State Zip Phone Number Extension Everett WA 98201 4252590868 Contractor Company Name BNBUILDERS INC Number Street Apartment or Suite Number 2601 Fourth Ave 350 City State Zip Phone Number Extension Seattle WA 98121 (206) 382-3443 State License Number License Expiration Date UBI # E-mail Address BNBUII*990K3 9/15/2021 602056687 Josh. McGaffey(a-_)bnbuilders.com Project Location Number Street Floor Number Suite or Room Number 21601 76TH AVE W Basement Surgery City Zip Code County Parcel Number EDMONDS 98026 00580700002500 Associated Building Permit Number Tenant Name Swedish Health Services Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Swedish Health Services PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO Number Street Apartment or Suite Number 4710 196TH ST SW City State Zip LYNNWOOD WA 98036-5517 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: 8/12/2021 Submitted By: Devin Saylor Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #1004853 - Swedish Edmonds OR Flooring and OR #6 Project Contact Company Name: Botesch, Nash & Hall Architects Name: Devin Saylor Email: devin@bnharch.com Address: 2727 Oakes Avenue 100 Phone #: 4252590868 Everett WA 98201 Project Type Nonresidential Activity Type Remodel Project Name: Swedish Edmonds OR Flooring and OR #6 Description of The scope of work for this interior remodel involves replacing the existing flooring, painting, Work: replacing/installing a new ceiling in the Clean Core area and installing the supporting framing and new surgical light boom in OR #6. Project Details Valuation Fair Market Value of Construction Work $200,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2