BLD2024-0533+Application+4.22.2024_8.48.38_AM+4209922CITY OF EDMONDS MyBuildingPermit.com
IF
Building Application #1476797 - South Hill Pain and Wellness
Applicant
First Name Last Name
Company Name
Amanda Promisloff
TGB Architects
Number Street
Apartment or Suite Number E-mail Address
21911 76th Ave W
Suite 210 apromisloff�tgbarchitects.com
City State Zip
Phone Number Extension
Edmonds WA 98026
(425) 778-1530
Contractor
Company Name
Contractor Unknown
Number Street
Apartment or Suite Number
City
State License Number
Project Location
Number Street
21701 76TH AVE W
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date
Phone Number
UBI # E-mail Address
Floor Number
1
Zip Code County Parcel Number
98026 00580700002702
Tenant Name
South Hill Pain and Wellness
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Number Street
PO BOX 92129
Last Name or Company Name
HR ACQUISITION I CORPORATION
Extension
Suite or Room Number
Suite 104
Apartment or Suite Number
City State Zip
SOUTHLAKE TX 76092
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: 4/22/2024 Submitted By: Amanda Promisloff
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1476797 - South Hill Pain and Wellness
Project Contact
Company Name: TGB Architects
Name: Amanda Promisloff Email: apromisloff@tgbarchitects.com
Address: 21911 76th Ave W Suite Phone #: (425) 778-1530
10
Edmonds WA 98026
Project Type Activity Type
Nonresidential Remodel
Project Name: South Hill Pain and Wellness
Description of Work: Tenant improvement of and existing suite on the 1st floor including reception, waiting,
exam rooms, work areas and break room
Project Details
Project Information
Square Feet -Tenant 1,500
Valuation
Fair Market Value of Construction Work $262,500
Exterior Changes?
The work does not involve changes to the exterior
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