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BLD2024-0089+Application+1.19.2024_1.03.37_PM+4009526CITY OF EDMONDS MyBuildingPermit.com IF Building Application #1430453 - TeaSteeps LLC Change of Use Applicant First Name Last Name Company Name Mia Marshall Marshall Desiqn and Management Number Street Apartment or Suite Number E-mail Address 12400 SE 38th #50766 City State Zip Bellevue WA 98015 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location State Zip License Expiration Date UBI # mia(@_marshalldm.com Phone Number Extension (206) 890-1570 Number Street 660 EDMONDS WAY City Zip Code County Parcel Number EDMONDS 98020 27032500309200 Associated Building Permit Number Tenant Name TeaSteep LLC Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number 1 B First Name Last Name or Company Name LAKESHORE INVESTMENT CORP Number Street Apartment or Suite Number 2633 EASTLAKE AVE E 307 City State Zip SEATTLE WA 98102 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: 1/19/2024 Submitted By: Mia Marshall Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1430453 - TeaSteeps LLC Change of Use Project Contact Company Name: Marshall Design and Management Name: Mia Marshall Email: mia@marshalldm.com Address: 12400 SE 38th #50766 Phone #: (206) 890-1570 Bellevue WA 98015 Project Type Nonresidential Activity Type Tenant Improvement - Change of Use Project Name: TeaSteeps LLC Change of Use Description of TeaSteeps is the tenant that is requesting to change the occupancy use from Business to Work: Mercantile for their retail tea store. There is no change to the existing walls, lighting, restrooms, doors. The existing build out is remaining as -is. Project Details Project Information Square Feet -Tenant Use Information Use - existing Use - proposed Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) 850 Business Use Mercantile Use 660 Edmonds Way Suite B Page 2 of 2