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BLD2022-0722+Application+6.2.2022_11.17.24_AM+2907109CITY OF EDMONDS nnysuilaingPermit.com Building Application #1152293 - CG Engineering 1st Floor West TI Applicant First Name Last Name Company Name Carmel Gregory CG Engineering Number Street Apartment or Suite Number E-mail Address 250 4th Ave South 200 carmelq(.@_cgengineerinq.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 778-8500 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location Number Street 250 4TH AVE S City EDMONDS Associated Building Permit Number State Zip License Expiration Date Phone Number Extension UBI # E-mail Address Zip Code County Parcel Number 98020 27032300414300 Tenant Name CG Engineerinq Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number 1 102 First Name Last Name or Company Name CG TNT LLC & BETH CAMPBELL Number Street Apartment or Suite Number 250 4TH AVE S 200 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: 6/2/2022 Submitted By: Carmel Gregory Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1152293 - CG Engineering 1st Floor West TI Project Contact Company Name: CG Engineering Name: Carmel Gregory Email: carmelg@cgengineering.com Address: 250 4th Ave South 200 Phone #: (425) 778-8500 Edmonds WA 98020 Project Type Nonresidential Activity Type Remodel Project Name: CG Engineering 1st Floor West TI Description of Work: Tenant improvement of Suite 102, First Floor, to create open office and conference room. Project Details Project Information Square Feet -Tenant 1,527 Valuation Fair Market Value of Construction Work $25,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2