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BLD2022-0465+Application+4.12.2022_4.21.31_PM+2795520CITY OF EDMONDS MyBuilaingPermit.com Building Application #1122849 - Better Living Retreat LLC Applicant First Name Last Name Company Name Zbiqniew Barnas Better Livinq Retreat LLC Number Street Apartment or Suite Number E-mail Address 415 9th Ave S dkoper(�D_yahoo.com City State Zip Phone Number Extension Edmonds WA 98020 4252973703 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 415 9TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00434207103800 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Tomici Cornelia Bruiban Number Street Apartment or Suite Number 415 9TH AVE S City State Zip EDMONDS WA 98020-3308 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: 4/12/2022 Submitted By: Zbigniew Barnas Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1122849 - Better Living Retreat LLC Project Contact Company Name: Better Living Retreat LLC Name: Zbigniew Barnas Email: dkoper@yahoo.com Address: 415 9th Ave S Phone #: 4252973703 Edmonds WA 98020 Project Type Single Family Residential Project Name: Better Living Retreat LLC Activity Type Adult Family Home Inspection Only I am uploading full checklist. We are still waiting for better copy of the floor plan from the Description of owner. We are in a process of purchasing this house and business and continue running it as Work: Adult Family Home. Closing on this purchase is supposed to take place before the end of April but we need this permit first to get full license to operate business as required by the lender. Project Details Project Information Number of Caretaker Bedrooms 1 Number of Client Bedrooms 6 Page 2 of 2