BLD2024-0500+Application+4.15.2024_1.25.22_PM+4196892CITY OF EDMONDS MyBuildingPermit.com
Building Application #1473565 - Miya's Massage
Applicant
First Name Last Name Company Name
Jinq Wanq Miya's Massaqe
Number Street Apartment or Suite Number E-mail Address
1022 NW 196th St srradford(�Daol.com
City State Zip Phone Number Extension
Shoreline WA 98177 (206) 406-2148
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
Number Street
9611 FIRDALE AVE
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date UBI #
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
1 1
Zip Code County Parcel Number
98020 00449900000100
Tenant Name
Jinq Wanq dba Miya's Massaqe
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Last Name or Company Name
FIRDALE ASSOCIATES LLC
Number Street Apartment or Suite Number
9500 ROOSEVELT WAY NE 100
City State Zip
SEATTLE WA 98115
Certification Statement - The applicant states:
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.
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: 4/15/2024 Submitted By: Jing Wang
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1473565 - Miya's Massage
Project Contact
Company Name: Miya's Massage
Name: Jing Wang Email: srradford@aol.com
Address: 1022 NW 196th St Phone #: (206) 406-2148
Shoreline WA 98177
Project Type
Nonresidential
Activity Type
Tenant Improvement - Change of Use
Project Name: Miya's Massage
Description of Work: Submit as is plan in order to obtain business license
Project Details
Project Information
Square Feet -Tenant 600
Use Information
Use - existing Tattoo Parlour
Use - proposed Massage Spa
Work Location
Work Description/Location (example: 1 st floor, All
Master Bath, Garage)
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