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BLD2023-1327+Application+10.23.2023_4.16.55_PM+3856248CITY OF EDMONDS MyBuildingPermit.com Sign Application #1393927 - stillhouse coffee Applicant First Name Last Name Company Name brian eastland Stillhouse Coffee Number Street Apartment or Suite Number E-mail Address 558 Main St suite 108 brian(aD_stillhouse.coffee City State Zip Phone Number Extension edmonds WA 98020 (206) 280-3868 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 9/12/2025 601481013 brian(cD_stillhouse.coffee 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 BLD2023-1014 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: 10/23/2023 Submitted By: brian eastland Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1393927 - stillhouse coffee Project Contact Company Name: Stillhouse Coffee Name: brian eastland Email: brian@stiIIhouse. coffee Address: 558 Main St suite 108 Phone #: (206) 280-3868 edmonds WA 98020 Project Type Nonresidential Activity Type Permanent Sign Scope of Work Wall or Building Project Name: stillhouse coffee Description of Work: New Coffee shop being built out at the Main Street commons development Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 2 Total number of signs removed 0 Page 2 of 2