BLD2022-0482+Application+4.15.2022_4.32.12_PM+2806376CITY OF EDMONDS
MyBuildingPermit.com
Building Application
#1125545 - Table for 12
Applicant
First Name
Last Name
Company Name
David
Pelletier
Pelletier + Schaar
Number Street
Apartment or Suite Number
E-mail Address
26911 98th drive
Suite B
dpelletier(D_pelletierschaar.com
City State
Zip
Phone Number Extension
Stanwood WA
98292
(360) 629-5375
Contractor
Company Name
Haider Construction
Number Street
Apartment or Suite Number
5607 244th St. SW
City
State Zip
Phone Number Extension
Mountlake Terrace
WA 98043
206 510 5300
State License Number
License Expiration Date
UBI #
E-mail Address
HAIDEC*914DB
4/7/2023
602903374
ron(a)_haiderconstruction.com
Project Location
Number Street
Floor Number Suite or Room Number
320 5TH AVE S
1 B
City
Zip Code
County Parcel Number
EDMONDS
98020
27032300413000
Associated Building Permit Number
Tenant Name
Table for 12
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
* VOLTSIS VENTURES LLC
Number Street Apartment or Suite Number
320 5TH AVE
City State Zip
EDMONDS WA 98020
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: 4/15/2022 Submitted By: David Pelletier
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #1125545 - Table for 12
Project Contact
Company Name: Pelletier + Schaar
Name: David Pelletier Email: dpelletier@pelletierschaar.com
Address: 26911 98th drive Suite B Phone #: (360) 629-5375
Stanwood WA 98292
Project Type
Nonresidential
Activity Type
Tenant Improvement - Change of Use
Project Name: Table for 12
Description of Work: Tenant Improvement for demonstration and training kitchen
Project Details
Project Information
Square Feet -Tenant 2,034
Use Information
Use - existing Mercantile
Use - proposed Business
Work Location
Work Description/Location (example: 1 st floor, Tenant space, Suite B
Master Bath, Garage)
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