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BLD2021-0841+Application+6.16.2021_3.19.56_PM+2254196CITY OF EDMONDS MyBuilaingPermit.com Building Application #978816 - New South Terrace Canopy Applicant First Name Last Name Company Name Scott Boyer Mithun Number Street Apartment or Suite Number E-mail Address 12216 Corliss Avenue North scottb((_mithun.com City State Zip Phone Number Extension Seattle WA 98133 2062350935 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 201 MAIN ST City Zip Code County Parcel Number EDMONDS 98020 00434400700700 Associated Building Permit Number Tenant Name BLD20160506 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 none First Name Last Name or Company Name EDMONDS 2020 LLC Number Street Apartment or Suite Number 307 BELL ST 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: 6/16/2021 Submitted By: Scott Boyer Page 1 of 2 i CITY OF EDMONDS MyBuildingPerrnicot.m „c Building Application #978816 - New South Terrace Canopy Project Contact Company Name: Mithun Name: Scott Boyer Email: scottb@mithun.com Address: 12216 Corliss Avenue North Phone #: 2062350935 Seattle WA 98133 Project Type Activity Type Scope of Work Mixed Use New Construction Primary Building Project Name: New South Terrace Canopy Description of Work: New Main Street south terrace canopy with glass panels and painted steel support outriggers attaching to existing concrete slab edge embed plates. Project Details Project Information IBC Occupancy type R2 Construction Type VA Page 2 of 2