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BLD2024-0160+Application+2.6.2024_1.08.14_PM+4042920CITY OF EDMONDS MyBuildingPermit.com Building Application #1431321 - pacific sage partners tenant improvement Applicant First Name Last Name Company Name brent rogers Number Street Apartment or Suite Number E-mail Address 2108 nw 204th st. brentrogers(o)-mac.com City State Zip Phone Number Extension shoreline WA 98177 (206) 954-5223 2069545223 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location Number Street 505 5TH AVE S City EDMONDS Associated Building Permit Number State Zip License Expiration Date Phone Number Extension UBI # E-mail Address Floor Number Suite or Room Number 1 104 Zip Code County Parcel Number 98020 01070900000400 Tenant Name PARAGEN PROPERTIES II LLC Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PARAGEN PROPERTIES II LLC Number Street Apartment or Suite Number 23929 W WOODWAY LN City State Zip WOODWAY 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: 2/6/2024 Submitted By: brent rogers Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1431321 - pacific sage partners tenant improvement Project Contact Company Name: Name: brent rogers Email: brentrogers@mac.com Address: 2108 nw 204th st. Phone #: (206) 954-5223 shoreline WA 98177 Project Type Activity Type Nonresidential Tenant Improvement Project Name: pacific sage partners tenant improvement Description of Work: 2700 sq. ft. tenant improvement 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) Valuation Fair Market Value of Construction Work Exterior Changes? The work does not involve changes to the exterior 2,700 financial services consulting financial services consulting ground floor tenant improvement including relocation of interior partitions, lighting and finishes $80,000 Page 2 of 2