BLD2022-0586+Application+5.7.2022_11.55.09_AM+2854481CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1119342 - Change of use Pilates, Massage
Applicant
First Name Last Name Company Name
Michael Crouch WoodWay Wellness
Number Street Apartment or Suite Number E-mail Address
505 5th ave S 3A mikeperouch(.@_gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 8583528044
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
Number Street
505 5TH AVE S
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date
Phone Number Extension
UBI # E-mail Address
Zip Code County Parcel Number
98020 01070900000300
Tenant Name
Karla Crouch
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Floor Number Suite or Room Number
Main floor 103
First Name Last Name or Company Name
PARAGEN PROPERTIES II LLC
Number Street Apartment or Suite Number
23929 W WOODWAY LN
City State Zip
WOODWAY WA 98020-5229
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: 5/7/2022 Submitted By: Michael Crouch
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Building Application #1119342 - Change of use Pilates, Massage
Project Contact
Company Name: WoodWay Wellness
Name: Michael Crouch Email: mikeperouch@gmail.com
Address: 505 5th ave S 3A Phone #: 8583528044
Edmonds WA 98020
Project Type
Nonresidential
Activity Type
Tenant Improvement - Change of Use
Project Name: Change of use Pilates, Massage
Description of Work: New paint.
Project Details
Project Information
Square Feet -Tenant
Use Information
Use - existing
Use - proposed
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1,131
Jewelry store
Pilates, massage
Entire space
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