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BLD2022-0108+Application+1.26.2022_4.41.17_PM+2644026CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1082654 - Suite 108 and 109 Applicant First Name Last Name Company Name Jackie Stoy Tritons Property Investment LLC Number Street Apartment or Suite Number E-mail Address 7500 212th St SW 101 stoyrealty(aD_jackiestoy.com City State Zip Phone Number Extension Lynnwood WA 98026 3608625000 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location Number Street 7500 212TH ST SW City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98026 00738800010800 Tenant Name Vacant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number 1 108 First Name Last Name or Company Name TRITONS PROPERTY INVESTMENT LLC Number Street Apartment or Suite Number 7500 212TH ST SW 101 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: 1/26/2022 Submitted By: Jackie Stoy Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1082654 - Suite 108 and 109 Project Contact Company Name: Stoy Realty Group Inc Name: Jackie Stoy Email: stoyrealty@jackiestoy.com Address: 7500 212th St SW 101 Phone #: 3608625000 eDMONDS WA 98026 Project Type Activity Type Nonresidential Tenant Improvement Project Name: Suite 108 and 109 Suite 108 and 109 were previously demised and the floor plan was changed by the Clays Description of between 1998 and 2016. It is unknown who or when the work was completed. In 2016 per Work: the existing tenant the Clays removed a sink in the back office and split the south -facing office into two offices. Project Details Project Information Square Feet -Tenant Use Information Use - existing Use - proposed Valuation Fair Market Value of Construction Work Exterior Changes? The work does not involve changes to the exterior 1,025 Dentist office in 1998. At some point between 1998-2015, The space was demised into two suites. In 2016 Suite 109 had the back office split into two offices. (See current floor plan.) Suite 109 is an Accounting Office and Suite 108 is a massage therapist. $10,000 Page 2 of 2