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BLD2023-0769+Application+6.16.2023_1.43.58_PM+3614467CITY OF EDMONDS MyBuildingPermit.com Building Application #1334493 - Atlas Coffee RI Applicant First Name Last Name Company Name Richard Kennedy Freiheit Architecture Number Street Apartment or Suite Number E-mail Address 505 106th ave 302 Rkennedy(�D,Frei heitarch.com City State Zip Phone Number Extension Bellevue WA 98004 (425) 827-2100 Contractor Company Name Contractor Unknown Number Street city State License Number Project Location Number Street 201 5TH AVE S city EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 00434212100100 Tenant Name Atlas Coffee Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 5003 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number 2nd 201 Last Name or Company Name R H OLD MILL TOWN ASSOC LLC Apartment or Suite Number City State Zip BELLEVUE WA 98009 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: 6/16/2023 Submitted By: Richard Kennedy Page 1 of 2 i CITY OF EDMONDS MyBuildinBPermit.com Building Application #1334493 - Atlas Coffee RI Project Contact Company Name: Freiheit Architecture Name: Richard Kennedy Address: 505 106th ave 302 Bellevue WA 98004 Project Type Nonresidential Email: Rkennedy@Freiheitarch.com Phone #: (425) 827-2100 Activity Type Tenant Improvement Project Name: Atlas Coffee RI Description of PROJECT WILL INCLUDE AN INTERIOR REMODEL OF EXISTING SPACE TO INCLUDE Work: REMOVAL AND REPLACEMENT OF EXISTING FLOOR FINISH, NEW NON STRUCTURAL INTERIOR PARTITIONS AND NEW CASEWORK. 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) 3,357 B (Business) B (Business) PROJECT WILL INCLUDE AN INTERIOR REMODEL OF EXISTING SPACE TO INCLUDE REMOVAL AND REPLACEMENT OF EXISTING FLOOR FINISH, NEW NON STRUCTURAL INTERIOR PARTITIONS AND NEW CASEWOR Valuation Fair Market Value of Construction Work $370,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2