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BLD2022-1072+Application+8.10.2022_6.33.11_PM+3044610CITY OF EDMONDS MyBuilaingPermit.coin Building Application #1186199 - Midnight Cookie Co Tenancy Applicant First Name Last Name Company Name Manish Gaudi MGPAQ LLC Number Street Apartment or Suite Number E-mail Address 607 SE Everett Mall Way 8 admin(@_midnightcookieco.com City State Zip Phone Number Extension Everett WA 98208 (425) 298-6081 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location Number Street 611 MAIN ST City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 00434209803700 Tenant Name MGPAQ LLC Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 1509 Last Name or Company Name GBH HOLDINGS LLC Phone Number Extension E-mail Address Floor Number Suite or Room Number 1 B1 Apartment or Suite Number City State Zip LANGLEY WA 98260 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: 8/10/2022 Submitted By: Manish Gaudi Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1186199 - Midnight Cookie Co Tenancy Project Contact Company Name: MGPAQ LLC Name: Manish Gaudi Email: admin@midnightcookieco.com Address: 6607 SE Everett Mall Way Phone #: (425) 298-6081 Everett WA 98208 Project Type Nonresidential Activity Type Tenant Improvement - Change of Use Project Name: Midnight Cookie Co Tenancy Description of Work: Change of use permit for Suite B1 - no TI/construction/work required Project Details Project Information Square Feet -Tenant Use Information Use - existing Use - proposed Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 300 Office space - group B Assembly space - group B (seating provided) Retail building, suite B1 Page 2 of 2