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BLD2022-0549+Application+4.29.2022_6.34.39_PM+2838354CITY OF EDMONDS nnysuilaingPermit.com Building Application #1134520 - The Paper Feather TI Applicant First Name Last Name Company Name Bob Bozorth Point of Vision Number Street Apartment or Suite Number E-mail Address 1628 46th Avenue SE PointOfVision(@_Hotmail.Com City State Zip Phone Number Extension Everett WA 98203 4257728207 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location Number Street 126 3RD AVE N City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 00956300010100 Tenant Name The Paper Feather 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 1 101 First Name Last Name or Company Name *The Paper Feather ALISTER PLACE LLC Number Street Apartment or Suite Number 126 3rd Avenue N Unit 101 City State Zip EDMONDS WA 98020 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: 4/29/2022 Submitted By: Bob Bozorth Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1134520 - The Paper Feather TI Project Contact Company Name: John Taylor Consulting Name: John Taylor Email: jtaylor@jtaylorconsulting.net Address: 21502 89th Avenue W Phone #: 4258768218 Edmonds WA 98026 Project Type Mixed Use Activity Type Tenant Improvement Project Name: The Paper Feather TI Description of Work: Removal of wall and upgrading of finishes. Project Details Project Information Square Feet -Tenant 437 Use Information Use - existing Commercial Office Use - proposed Retail Shop Valuation Fair Market Value of Construction Work $8,500 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2