BLD2022-0789+Application+6.17.2022_12.01.26_PM+2939228CITY OF EDMONDS M BtaildingPermit.com
Building Application #1160729 - Edmonds Medical Plaza - Spec Suite 202
Applicant
First Name Last Name Company Name
Gina Dais TGB Architects
Number Street Apartment or Suite Number E-mail Address
21911 76th Ave W 210 gdais(�D_tgbarchitects.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 559-4463 2063752806
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
Number Street
21616 76TH AVE W
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date UBI #
Zip Code County Parcel Number
98026 00461000100101
Tenant Name
Healthcare Realty
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Number Street
PO BOX 92129
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
2 202
Last Name or Company Name
HR ACQUISITION I CORPORATION
Apartment or Suite Number
City State Zip
SOUTH LAKE TX 76092
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: 6/17/2022 Submitted By: Gina Dais
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CITY OF EDMONDS M BuildingPerrntt.com
Building Application #1160729 - Edmonds Medical Plaza - Spec Suite 202
Project Contact
Company Name: TGB Architects
Name: Gina Dais Email: gdais@tgbarchitects.com
Address: 21911 76th Ave W 210 Phone #: (425) 559-4463 2063752806
Edmonds WA 98026
Project Type
Nonresidential
Activity Type
Remodel
Project Name: Edmonds Medical Plaza - Spec Suite 202
Description of Work: remodel of existing clinical space into new spec suite including exam rooms, toilet,
work areas, and waiting room
Project Details
Project Information
Square Feet -Tenant 1,085
Valuation
Fair Market Value of Construction Work $217,000
Exterior Changes?
The work does not involve changes to the exterior
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