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BLD2023-0519+Application+4.27.2023_10.30.50_AM+3509126CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1305887 - MSHH OFFICE REMODEL Applicant First Name Last Name Company Name RICHARD MARIN Richard L Marin Number Street Apartment or Suite Number E-mail Address 409 Howell Way Ist 1084(�D_frontier.com City State Zip Phone Number Extension EDMONDS WA 98020 (206) 718-9750 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 409 HOWELL WAY MAIN FLOOR 409 City Zip Code County Parcel Number EDMONDS 98020 27032600102500 Associated Building Permit Number Tenant Name MSHH DONOR CLOSET Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name MSHH DONOR CLOSET EDMONDS CENTER LP Number Street Apartment or Suite Number 403 HOWELL WAY 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: 4/27/2023 Submitted By: RICHARD MARIN Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #1305887 - MSHH OFFICE REMODEL Project Contact Company Name: MSHH Donor Closet Name: RICHARD MARIN Email: Ist-1 084@frontier.com Address: 409 Howell Way Phone #: (206) 718-9750 EDMONDS WA 98020 Project Type Nonresidential Activity Type Remodel Project Name: MSHH OFFICE REMODEL REMOVE WALLS OF EXISTING NON-STRUCTURAL OFFICE WALLS AND EXISTING Description of FRONT COUNTER. Then build a new non-structural smaller 10' x 12' OFFICE WITH 2x4 Work: walls and 1/2" sheetrock with no ceiling, a 3'0' door and non -opening decorative window. Install a new front counter. Project Details Project Information Square Feet -Tenant 120 Valuation Fair Market Value of Construction Work $400 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2