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BLD2024-0345+Application+3.13.2024_2.27.29_AM+4125244CITY OF EDMONDS MyBuildingPermit.com Building Application #1456614 - Staff Restroom Applicant First Name Last Name Company Name lauri strauss deign2 LAST, inc Number Street Apartment or Suite Number E-mail Address 543 Main Street 101 lauri(.@,design2last.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 673-7269 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location Number Street 23200 100TH AVE W City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 27033600202200 Tenant Name Staff restroom 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 Building H 20 First Name Last Name or Company Name EDMONDS SCHOOL DIST 15 Number Street Apartment or Suite Number 20420 68TH AVE W City State Zip LYNNWOOD WA 98036-7405 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: 3/13/2024 Submitted By: lauri Strauss Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1456614 - Staff Restroom Project Contact Company Name: deign2 LAST, inc Name: lauri strauss Email: lauri@design2last.com Address: 543 Main Street 101 Phone #: (425) 673-7269 Edmonds WA 98020 Project Type Nonresidential Project Name: Staff Restroom Activity Type Remodel SCOPE GENERALLY CONSISTS OF DIVIDING A STORAGE ROOM TO ADD A SINGLE Description of USER ALL GENDER STAFF TOILET ROOM. WORK WILL INCLUDE A LIMITED AMOUNT Work: OF ELECTRICAL, PLUMBING AND MECHANICAL EFFORT TO ADD A WATER CLOSET AND SINK TO THE SPACE. THE NEW TOILET ROOM WILL BE FULLY CODE COMPLIANT. Project Details Project Information Square Feet -Tenant 66 Valuation Fair Market Value of Construction Work $77,180 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2