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BLD2022-0895+Application+7.8.2022_12.33.17_PM+2977768CITY OF EDMONDS M BuildingPermit.com Building Application #1170358 - 505 TI Suite 101 Water Damage Repairs 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 Apartment or Suite Number City State License Number Project Location Number Street 505 5TH AVE S City EDMONDS Associated Building Permit Number State Zip License Expiration Date Phone Number Extension UBI # E-mail Address Floor Number Suite or Room Number 1 101 Zip Code County Parcel Number 98020 01070900000100 Tenant Name Paraqren Properties II, LLC Additional Information (i.e. equipment location or special instructions). Work Location Property Owner 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: 7/8/2022 Submitted By: Bob Bozorth Page 1 of 2 i CITY OF EDMONDS Mygui[di ngPerrnit.com ,.,I,,.. Building Application #1170358 - 505 TI Suite 101 Water Damage Repairs 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 Activity Type Remodel Project Name: 505 TI Suite 101 Water Damage Repairs Description of Work: Water damage repairs to wallboard, insulation, and flooring Project Details Project Information Square Feet -Tenant 6,340 Valuation Fair Market Value of Construction Work $85,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2