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BLD2023-0793+Application+6.26.2023_11.58.29_AM+3630857CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1337969 - Change tenant type Applicant First Name Last Name Company Name Kanako Nishikawa Kiddleton, Inc. Number Street Apartment or Suite Number E-mail Address 15455 Dallas Parkway Suite 600, Addison, 600 license(�D_kiddleton.us City State Zip Phone Number Extension Addison TX 75001-6760 (469) 987-0683 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # Number Street 22511 HIGHWAY 99 S City Zip Code County Parcel Number EDMONDS 98020 27042900307400 Associated Building Permit Number Tenant Name Kiddleton, Inc. 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 108E First Name Last Name or Company Name FRANKLIN-EDMONDS LLC Number Street Apartment or Suite Number 15015 MAIN ST 203 City State Zip BELLEVUE WA 98007 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: 6/26/2023 Submitted By: Kanako Nishikawa Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1337969 - Change tenant type Project Contact Company Name: Kiddleton, Inc Name: Kanako Nishikawa Email: license@kiddleton.us Address: 15455 Dallas Parkway Suite 600, Phone #: (469) 987-0683 Addison, TX 600 Addison TX 75001-6760 Project Type Nonresidential Activity Type Tenant Improvement - Change of Use Project Name: Change tenant type Description of Work: Change tenant type to retail. No physical change or upgrade will be made to the actual suite. Project Details Project Information Square Feet -Tenant Use Information Use - existing Use - proposed Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 259 No use category assigned yet Claw machine operation (retail) Change tenant type/1 st Floor, unit# 108E Page 2 of 2