BLD2023-1030+Application+8.14.2023_4.13.36_PM+3711693CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1359045 - 218 Change of Use
Applicant
First Name Last Name Company Name
Tin Nguyen
Number Street Apartment or Suite Number E-mail Address
220 Main St tinnquyen0012(.@_gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 235-3979
Contractor
Company Name
Owner
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
218 MAIN ST
City Zip Code
County Parcel Number
EDMONDS 98020
00454800101100
Associated Building Permit Number
Tenant Name
N/A
John Jinhonq
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
1 None
First Name Last Name or Company Name
Tin T & Le Trinh T & Diem Q & Van Nquyen
Number Street Apartment or Suite Number
6711 202 ST SW
City State Zip
LYNNWOOD WA 98036
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: 8/14/2023 Submitted By: Tin Nguyen
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Building Application #1359045 - 218 Change of Use
Project Contact
Company Name:
Name: Tin Nguyen Email: tinnguyen0012@gmail.com
Address: 220 Main St Phone #: (206) 235-3979
Edmonds WA 98020
Project Type Activity Type
Nonresidential Tenant Improvement - Change of Use
Project Name: 218 Change of Use
Description of The new tenant is planning to use the space as a studio for herself and she will have
Work: some of her arts on the wall. No remodeling will be done to the space except for
repainting of the walls.
Project Details
Project Information
Square Feet -Tenant
Use Information
Use - existing
Use - proposed
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
352
2 stations hair salon
Art studio used as a private work space for 1 artist with
art work hung on walls.
street level
Page 2 of 2