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BLD2022-0764+Application+6.10.2022_3.15.52_PM+2925992CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1157242 - Molly Moon's Homemade Ice Cream Applicant First Name Last Name Company Name Molly Neitzel Molly Moon's Homemade Ice Cream Number Street Apartment or Suite Number E-mail Address 1122 EAST PIKE ST, BOX 1448 City State Zip SEATTLE WA 98122 Contractor Company Name WILCOX CONSTRUCTION INC Number Street 234 5th Avenue south City State Zip Edmonds WA 98020 State License Number License Expiration Date WILCOCL791 RC 12/3/2023 Project Location Number Street 558 MAIN ST City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner molly(a�mollymoonicecream.com Phone Number Extension (206) 618-4934 Apartment or Suite Number Phone Number Extension 4257744185 UBI # E-mail Address 319007592 Devangelisto(cb_wilcoxconstruction.com Floor Number Suite or Room Number 1 4 County Parcel Number 00434212001500 Tenant Name Molly Moon's Homemade Ice Cream 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: 6/10/2022 Submitted By: Molly Neitzel Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #1157242 - Molly Moon's Homemade Ice Cream Project Contact Company Name: Migration Design Studio Name: TOSH DRAKE Email: tosh.drake@migration.eco Address: 525 Belmont Ave E. Apt 6B Phone #: (206) 617-0741 SEATTLE WA 98102 Project Type Nonresidential Activity Type Tenant Improvement Project Name: Molly Moon's Homemade Ice Cream Description of Work: Tenant improvement for new ice cream shop. Project Details Project Information Square Feet -Tenant 790 Use Information Use - existing N/A Use - proposed Special Retail Work Location Work Description/Location (example: 1 st floor, Level 01, Suite 4 Master Bath, Garage) Valuation Fair Market Value of Construction Work $325,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2