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BLD2022-0709+Application+5.31.2022_10.55.47_AM+2901297CITY OF EDMONDS MyBuitdingPermit.com Building Application #1150811 - Plum Tree Plaza Fire Damage Repair Applicant First Name Last Name Company Name Michael Bramhall Deqenkolb Enqineers Number Street Apartment or Suite Number E-mail Address 600 University St 720 mbramhallti,degenkolb.com City State Zip Phone Number Extension Seattle WA 98101 (206) 718-1094 Contractor Company Name BELFOR USA GROUP INC Number Street Apartment or Suite Number 4320 S 131 st PL 100 City State Zip Phone Number Extension Seattle WA 98168 206-632-0800 State License Number License Expiration Date UBI # E-mail Address BELFOUG99OBJ 12/20/2022 602089710 David. Step hen s(a)-us.belfor.com Project Location Number Street Floor Number Suite or Room Number 22315 HIGHWAY 99 1 6-10 City Zip Code County Parcel Number EDMONDS 98026 27042900302700 Associated Building Permit Number Tenant Name Multiple tenants Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PACIFIC PLAZA LLC Number Street Apartment or Suite Number 10120 NE 59TH ST City State Zip KIRKLAND WA 98033 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: 5/31/2022 Submitted By: Michael Bramhall Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1150811 - Plum Tree Plaza Fire Damage Repair Project Contact Company Name: Degenkolb Engineers Name: Michael Bramhall Email: mbramhall@degenkolb.com Address: 600 University St 720 Phone #: (206) 718-1094 Seattle WA 98101 Project Type Nonresidential Activity Type Remodel Project Name: Plum Tree Plaza Fire Damage Repair Description of Work: Like -kind repair to fire damage roof framing on an existing wood framed retail building Project Details Project Information Square Feet -Tenant 5,500 Valuation Fair Market Value of Construction Work $2,000,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2