BLD2022-0862+Application+6.30.2022_4.04.10_PM+2965578CITY OF EDMONDS
Building Application #1167301 - Office retrofit
Applicant
First Name Last Name
Thom Sullivan
Number Street Apartment or Suite Numt
7110 210 st. SW
City State Zip
Edmonds WA 98026
Contractor
Company Name
Contractor Unknown
Number Street
City State Zip
State License Number License Expiration Date UBI #
Project Location
MyBuildingPermit.com
Company Name
City of Edmonds
or E-mail Address
thom.sullivan(a-)-edmondswa.gov
Phone Number Extension
(425) 760-3334
Apartment or Suite Number
Phone Number Extension
E-mail Address
Number Street Floor Number Suite or Room Number
700 MAIN ST 1 115/121
City Zip Code County Parcel Number
EDMONDS 98020 00434208800000
Associated Building Permit Number Tenant Name
City of Edmonds
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
EDMONDS CITY OF
Number Street Apartment or Suite Number
250 5TH AVE N
City State Zip
EDMONDS WA 98020-3146
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: 6/30/2022 Submitted By: Thom Sullivan
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #1167301 - Office retrofit
Project Contact
Company Name: City of Edmonds
Name: Thom Sullivan Email: thom.sullivan@edmondswa.gov
Address: 7110 210 st. SW Phone #: (425) 760-3334
Edmonds WA 98026
Project Type
Nonresidential
Activity Type
Tenant Improvement - Change of Use
Project Name: Office retrofit
Description of Work: Convert two existing classrooms to office space
Project Details
Project Information
Square Feet -Tenant 2,000
Use Information
Use - existing Classroom/assembly
Use - proposed Office
Work Location
Work Description/Location (example: 1 st floor, 100 level floor
Master Bath, Garage)
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