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BLD2022-1402+Application+10.13.2022_10.14.51_AM+3162519CITY OF EDMONDS MyBtaildingPermit.com Building Application #1215543 - 23726 100TH AVE W - Bathroom Applicant First Name Last Name Company Name Jacob Strobl Strobl Desiqn Number Street Apartment or Suite Number E-mail Address 1122 N J ST jacob(�D_strobldesign.com City State Zip Phone Number Extension TACOMA WA 98403 (206) 661-3622 Contractor Company Name JOE MYERS CONSTRUCTION INC Number Street Apartment or Suite Number 4418 128th PL SE City State Zip Phone Number Extension Everett WA 98208 425-328-7849 State License Number License Expiration Date UBI # E-mail Address JOEMYMC951 PP 10/20/2023 602516739 lacob(cD_strobldesign.com Project Location Number Street Floor Number Suite or Room Number 23726 100TH AVE W All None City Zip Code County Parcel Number EDMONDS 98020 27033600400500 Associated Building Permit Number Tenant Name GASWORKS INVESTMENTS LLC Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name GASWORKS INVESTMENTS LLC Number Street Apartment or Suite Number 23726 100TH AVE W 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: 10/13/2022 Submitted By: Jacob Strobl Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.cam Building Application #1215543 - 23726 100TH AVE W - Bathroom Project Contact Company Name: Strobl Design Name: Jacob Strobl Email: jacob@strobldesign.com Address: 1122 N J ST Phone #: (206) 661-3622 TACOMA WA 98403 Project Type Nonresidential Activity Type Remodel Project Name: 23726 100TH AVE W - Bathroom Description of Work: Add bathroom with sink and toilet to existing main floor of existing building. Project Details Project Information Square Feet -Tenant 34 Valuation Fair Market Value of Construction Work $20,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2