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BLD2023-1014+Application+8.9.2023_3.47.29_PM+3714566CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1359714 - StillHouse Coffee Inc Applicant First Name Last Name Company Name robert miller Robert S Miller & assoc Number Street Apartment or Suite Number E-mail Address 1501 Latitude Circle rsm(�D_spaceplan.com City State Zip Phone Number Extension Anacortes WA 98221 (425) 822-0100 Contractor Company Name T C I INC Number Street Apartment or Suite Number 13500 Bel -Red Rd 9 City State Zip Phone Number Extension Bellevue WA 98005 (425) 454-5310 State License Number License Expiration Date UBI # E-mail Address TCIIN**07700 9/12/2023 601481013 rsm@spaceplan.com Project Location Number Street Floor Number Suite or Room Number 558 MAIN ST 1 108 City Zip Code County Parcel Number EDMONDS 98020 00434212001500 Associated Building Permit Number Tenant Name StillHouse Coffee Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name * SEATTLE-SNOHOMISH MILL COMPANY INC Number Street Apartment or Suite Number 9525 AIRPORT WAY City State Zip SNOHOMISH WA 98296 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: 8/9/2023 Submitted By: robert miller Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1359714 - StillHouse Coffee Inc Project Contact Company Name: Robert S Miller & assoc Name: robert miller Email: rsm@spaceplan.com Address: 1501 Latitude Circle Phone #: (425) 822-0100 Anacortes WA 98221 Project Type Nonresidential Project Name: StillHouse Coffee Inc Activity Type Tenant Improvement built one wall less than 2 feet long. install cabinets and bench seating. Option to install soffit over work area if it is required by SnoCo Health dept. Electrical, HVAC, Mechanical & Description of Plumbing permits will be obtained by others. Replace one exterior door with a walk-up service Work: window & ; counter. Assumed this would not be considered & Exterior Work; for application purposes. Door is an operable storefront assembly. replacement is a fixed assemble & a smaller sliding storefront window. Project Details Project Information Square Feet -Tenant Use Information Use - existing Use - proposed Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Valuation Fair Market Value of Construction Work Exterior Changes? The work does not involve changes to the exterior 697 not occupied - new buildng B - coffee shop. first floor northeast corner of property. $78,000 Page 2 of 2