BLD2022-0977+Application+7.21.2022_3.56.43_PM+2822291CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1130113 - Center Annex
Applicant
First Name Last Name Company Name
Greqory Jantz The Center A Place of HOPE
Number Street Apartment or Suite Number E-mail Address
P.O.Box 700 drjantz(D_aplaceofhope.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 947-6415
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
533 DAYTON ST all none
City Zip Code County Parcel Number
EDMONDS 98020 00434212002800
Associated Building Permit Number Tenant Name
The Center A Place of HOPE
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Gregory Jantz
Number Street Apartment or Suite Number
PO BOX 700
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: 7/21/2022 Submitted By: Gregory Jantz
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1130113 - Center Annex
Project Contact
Company Name: The Center A Place of
HOPE
Name: Gregory Jantz Email: drjantz@aplaceofhope.com
Address: P.O.Box 700 Phone #: (206) 947-6415
Edmonds WA 98020
Project Type
Nonresidential
Activity Type
Tenant Improvement - Change of Use
Project Name: Center Annex
Description of Work: Paint, carpet and floors removal of hair stations.
Project Details
Project Information
Square Feet -Tenant
Use Information
Use - existing
Use - proposed
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
1,161
Was a hair salon
consult offices for use by exiting business at 547
Dayton
its lower level of the building
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