BLD2021-1125+Application+8.14.2021_9.40.13_AM+2356764CITY OF EDMONDS nn BtaildingPermit.com
Plumbing Application #1003994 - Office Building Tenant Improvements
Applicant
First Name Last Name Company Name
brent deide cornerstone architectural qroup
Number Street Apartment or Suite Number E-mail Address
6161 175th 101 bdeide(cb_cornerstonearch.com
City State Zip Phone Number Extension
kenmore WA 98028 (206) 682-5000
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
7614 195TH ST SW
City Zip Code
EDMONDS 98026
Associated Building Permit Number
BLD2021-0926
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number Extension
UBI # E-mail Address
Floor Number Suite or Room Number
2 200,201
County Parcel Number
00539600100100
Tenant Name
SUMME MEDICAL CLINIC, PSM, INC.
First Name Last Name or Company Name
SVREAL, LLC
Number Street Apartment or Suite Number
7614 195TH ST SW 201
City State Zip
EDMONDS WA 98026
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: 8/14/2021 Submitted By: brent deide
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1003994 - Office Building Tenant Improvements
Project Contact
Company Name: cornerstone architectural
group
Name: steve barnes Email: sbarnes@cornerstonearch.com
Address: 6161 175th 101 Phone #: (206) 682-5000
kenmore WA 98028
Project Type
Nonresidential
Activity Type
Alteration
Scope of Work
Plumbing
Project Name: Office Building Tenant Improvements
Description of Work: Interior remodel of existing office building.
Project Details
Type of Use
Work does NOT have med gas, commercial kitchen,
food svc, lab, medical, or dental use.
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Additional Project Information
Total number of fixtures being added or altered
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
3
Existing toilet 02A is being modified. Toilet for suite 201
is being moved and made ADA compliant.Toilet 200B is
being added for suite 200.
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