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BLD2021-0430+Application+3.25.2021_11.39.37_AM+2111511CITY OF EDMONDS MyB�ildingPermit.com Plumbing Application #940214 - 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(@_yahoo.com.hk City State Zip Phone Number Extension Edmonds WA 98026 2069465248 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 22921 HIGHWAY 99 City Zip Code EDMONDS 98026 Associated Building Permit Number BLD2021-0427 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 33548 County Parcel Number 00576700000205 Tenant Name vacant Last Name or Company Name FIVE CR LLC 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: 3/25/2021 Submitted By: Idy Chang Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Plumbing Application #940214 - 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 Nonresidential Activity Type Alteration Scope of Work Plumbing Project Name: Harvest Wonton Noodle Description of Interior alterations from vacant retail grocery store into new Chinese restaurant. Alterations Work: to existing plumbing system to accommodate new commercial kitchen fixtures and restroom fixtures. Project Details 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) 16 Existing main floor of vacant retail space within existing strip mall. Alterations to existing plumbing system for new commercial kitchen fixtures and restrooms. Page 2 of 2