BLD2021-1124+Application+8.14.2021_9.39.18_AM+2356760CITY OF EDMONDS nn BtaildingPermit.com
Mechanical Application #1004008 - Office Building Tenant Improvements
Applicant
First Name Last Name Company Name
brent deide cornerstone architectural qroup
Number Street Apartment or Suite Number E-mail Address
6161 175th 101 bdeide(cb_cornerstonearch.com
City State Zip Phone Number Extension
kenmore WA 98028 (206) 682-5000
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
7614 195TH ST SW
City Zip Code
EDMONDS 98026
Associated Building Permit Number
BLD2021-0926
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
UBI # E-mail Address
Floor Number Suite or Room Number
2 200,201
County Parcel Number
00539600100100
Tenant Name
SUMME MEDICAL CLINIC, PSM, INC.
First Name Last Name or Company Name
SVREAL, LLC
Number Street Apartment or Suite Number
7614 195TH ST SW 201
City State Zip
EDMONDS WA 98026
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: 8/14/2021 Submitted By: brent deide
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CITY OF EDMONDS MyBuil.dingPermit.com
Mechanical Application #1004008 - Office Building Tenant Improvements
Project Contact
Company Name: cornerstone architectural
group
Name: steve barnes Email: sbarnes@cornerstonearch.com
Address: 6161 175th 101 Phone #: (206) 682-5000
kenmore WA 98028
Project Type Activity Type Scope of Work
Nonresidential Alteration Mechanical
Project Name: Office Building Tenant Improvements
Description of Work: Interior remodel of existing office building, suites 200, 201.
Project Details
Scope of Work
Mech Equipment Per Plans
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Modifications to existing HVAC for interior tenant
improvement suite 200, 201.
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