BLD2022-0884_Application_7.6.2022_2.10.56_PM_2973114CITY OF EDMONDS MyBuildingPermit.com
Building Application #1169189 - Swedish Radiation Oncology Reroof
Applicant
First Name Last Name Company Name
Micah Dolen Swedish Health Services
Number Street Apartment or Suite Number E-mail Address
747 Broadway micah.dolen@swedish.org
City State Zip Phone Number Extension
Seattle WA 98122 (425) 922-3399
Contractor
Company Name
G L Y CONSTRUCTION INC
Number Street Apartment or Suite Number
200 112th Avenue STE 300
City State Zip Phone Number Extension
Bellevue WA 98004 (425) 451-8877
State License Number License Expiration Date UBI # E-mail Address
GLYCOI*01809 9/30/2022 57Rn785nn troy.alexander@GLY.com
Project Location
Number Street Floor Number Suite or Room Number
21605 76TH AVE W 2 None
City Zip Code County Parcel Number
EDMONDS 98026 00580700002500
Associated Building Permit Number Tenant Name
Swedish Radiation Oncology
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
* 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: 7/6/2022 Submitted By: Micah Dolen
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1169189 - Swedish Radiation Oncology Reroof
Project Contact
Company Name: Swedish Health Services
Name: Micah Dolen Email: micah.dolen@swedish.org
Address: 747 Broadway Phone #: (425) 922-3399
Seattle WA 98122
Project Type Activity Type
Nonresidential Re -Roof Replacement - Roofing Only
Project Name: Swedish Radiation Oncology Reroof
Description of Work: Remove and replace existing roofing material
Project Details
Structure Type
Non Residential Building
Increasing Building Height?
The height of the building is not increasing.
Primary Use
Other
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