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BLD2022-0061+Application+1.18.2022_10.22.52_AM+2625980CITY OF EDMONDS MyBtaildingPermit.com Building Application #1077947 - Electric Vehicle Charging Stations Applicant First Name Last Name Company Name Sarah Pomeroy Blymyer Engineers, INC Number Street Apartment or Suite Number E-mail Address 1101 Marina Villaqe Parkway spomeroy(D_blymyer.com City State Zip Phone Number Extension Alameda CA 94501 5108163373 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location Number Street 21900 HIGHWAY 99 City EDMONDS Associated Building Permit Number State Zip License Expiration Date Phone Number Extension UBI # E-mail Address Zip Code County Parcel Number 98026 00580700004009 Tenant Name Winco Foods Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number Parkinq lot None First Name Last Name or Company Name Ronald R. Schrieber II WINCO FOODS LLC A DELAWARE LIMITED LIABI Number Street Apartment or Suite Number 650 N. ARMSTRONG PL City State Zip BOI S E ID 83704 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: 1/18/2022 Submitted By: Sarah Pomeroy Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1077947 - Electric Vehicle Charging Stations Project Contact Company Name: Blymyer Engineers, INC Name: Sarah Pomeroy Email: spomeroy@blymyer.com Address: 1101 Marina Village Parkway Phone #: 5108163373 Alameda CA 94501 Project Type Nonresidential Activity Type Remodel Project Name: Electric Vehicle Charging Stations Description of Work: Installation of three electric vehicle charging stations in an existing retail parking lot with new electric service from utility Project Details Project Information Square Feet -Tenant 360,676 Valuation Fair Market Value of Construction Work $272,000 Exterior Changes? The work involves changes to the exterior Page 2 of 2