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BLD2021-0427+Application+3.24.2021_5.57.49_PM+2110599CITY OF EDMONDS MyBuilaingPermit.com Building Application #939940 - Harvest Wonton Noodle Applicant First Name Last Name Company Name Idy Chang Number Street Apartment or Suite Number E-mail Address 22931 hwy 99 up20027up(�D_yahoo.comhk City State Zip Phone Number Extension edmonds WA 98026 2069465248 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location Number Street 22921 HIGHWAY 99 City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98026 00576700000205 Tenant Name Vacant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name FIVE CR LLC Number Street PO BOX 33548 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number 1 none Apartment or Suite Number City State Zip SEATTLE WA 98133-0548 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: 3/24/2021 Submitted By: Idy Chang Page 1 of 2 i o CITY OF EDMONDS MyBuildingPerrnit.cm „c Building Application #939940 - Harvest Wonton Noodle Project Contact Company Name: Catch Design Studio Name: Nos Narin Email: permit@catchstudio.com Address: 9031 21st sw Phone #: 2063224323 Seattle WA 98106 Project Type Activity Type Nonresidential Tenant Improvement - Change of Use Project Name: Harvest Wonton Noodle Description of Tenant improvement from vacant retail store into a new Chinese restaurant. Alterations to Work: interior finishes, paint and furniture. Alterations to existing plumbing system to accommodate new commercial kitchen fixtures. Project Details Project Information IBC Occupancy type B- business Square Feet -Tenant 1,049 Use Information This is a change of use. Page 2 of 2