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BLD2021-0346+Application+3.5.2021_1.42.28_PM+2078643CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #931229 - 99 RANCH MARKET REMODEL Applicant First Name Last Name Company Name Keith Smith smith co Ilc Number Street Apartment or Suite Number E-mail Address 603 Stewart Street Suite 610 ksmith(�D_smithco.orq City State Zip Phone Number Extension Seattle WA 98101 2067134076 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date Number Street 22511 HIGHWAY 99 S City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Phone Number Extension UBI # E-mail Address County Parcel Number 27042900307400 Tenant Name 99 RANCH MARKET Floor Number 1 Suite or Room Number MAIN LEVEL First Name Last Name or Company Name FRANKLIN-EDMONDS LLC Number Street Apartment or Suite Number 15015 MAIN ST 203 City State Zip BELLEVUE WA 98007 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: 3/5/2021 Submitted By: Keith Smith Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Plumbing Application #931229 - 99 RANCH MARKET REMODEL Project Contact Company Name: smith co Ilc Name: Keith Smith Email: ksmith@smithco.org Address: 603 Stewart Street Suite 610 Phone #: 2067134076 seattle WA 98101 Project Type Nonresidential Activity Type Alteration Scope of Work Plumbing Project Name: 99 RANCH MARKET REMODEL Description of Work: new floor sinks and sinks for a remodeled bakery, new expanded area, replacing existing toilet rooms, (4) in total Project Details Scope of Work Like for like equipment in the same location Type of Use Work includes commercial kitchen, food svc, med gas, lab, medical use, or dental use. Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 9 new floor sinks, sinks, equipment, replacing existing toilets and lays Page 2 of 2