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BLD2024-0398+Application+3.21.2024_10.06.26_AM+4148500CITY OF EDMONDS Sign Application #1461642 - Zoom Care Applicant First Name Last Name Woodrow Elsasser i MyBuitdingPermit.com Company Name Tube Art Group Number Street Apartment or Suite Number E-mail Address 4243 SE International Way #A City State Zip Milwaukie OR 97222 Contractor Company Name Tube Art Displays Inc Number Street 11715 SE 5th St City State Zip Bellevue WA 98005 State License Number License Expiration Date UBI # TUBEAD111 ONH 8/8/2025 178073073 Project Location Number Street 22019 HIGHWAY 99 welsasser(cb_tubeart.com Phone Number Extension (206) 718-8019 Apartment or Suite Number Phone Number Extension (206) 223-1122 E-mail Address shawnb(a_tubeart.com City Zip Code County Parcel Number EDMONDS 98020 27042900301900 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name Unknown Unknown Number Street Apartment or Suite Number 22019 HIGHWAY 99 City State Zip EDMONDS WA 98020 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: 3/21/2024 Submitted By: Woodrow Elsasser Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Sign Application #1461642 - Zoom Care Project Contact Company Name: Tube Art Group Name: Woodrow Elsasser Email: welsasser@tubeart.com Address: 4243 SE International Way #A Phone #: (206) 718-8019 Milwaukie OR 97222 Project Type Nonresidential Activity Type Permanent Sign Scope of Work Wall or Building Project Name: Zoom Care Description of Work: Remove two (2) existing signs and install one (1) new sign for Zoom Care Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 1 Total number of signs removed 2 Page 2 of 2