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BLD2022-0762+Application+6.9.2022_2.43.32_PM+2923461CITY OF EDMONDS nnysuilaingPermit.com Building Application #1156558 - Suite 103B T.I. Applicant First Name Last Name Company Name Bob Bozorth Point of Vision Number Street Apartment or Suite Number E-mail Address 1628 46th Avenue SE PointOfVision(@_Hotmail.Com City State Zip Phone Number Extension Everett WA 98203 (425) 772-8207 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location Number Street 505 5TH AVE S City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 01070900000300 Tenant Name Joki Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number 1 103B First Name Last Name or Company Name PARAGEN PROPERTIES II LLC Number Street Apartment or Suite Number 23929 W WOODWAY LN City State Zip WOODWAY WA 98020-5229 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: 6/9/2022 Submitted By: Bob Bozorth Page 1 of 2 CITY OF EDMONDS MyBuildingPerrnit.com Building Application #1156558 - Suite 103B T.I. Project Contact Company Name: Point of Vision Name: Bob Bozorth Email: PointOfVision@Hotmail.Com Address: 1628 46th Avenue SE Phone #: (425) 772-8207 Everett WA 98203 Project Type Mixed Use Project Name: Suite 103B T.I Activity Type Tenant Improvement DEMOLITION OF EXISTING WALLS, DOORS, RELITES, AND SUSPENDED Description of ACOUSTICAL CEILING. PROVE NEW STORAGE ROOM WALLS AND DOOR. Work: INSTALLATION OF UPPER AND LOWER CABINETS AND SINK AT EXISTING PLUMBING WALL. Project Details Project Information Square Feet -Tenant 1,562 Use Information Use - existing Retail/Office Use - proposed Retail/Office Valuation Fair Market Value of Construction Work $24,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2