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BLD2022-0906+Application+7.11.2022_10.56.19_AM+2980624 (2)CITY OF EDMONDS MyBuitdingPermit.com Building Application #1160771 - Juice N Joe Applicant First Name Last Name Company Name Chermak Construction Chermak Construction Number Street Apartment or Suite Number E-mail Address 655 Edmonds Way design(a�chermak.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 776-1367 Contractor Company Name CHERMAK CONSTRUCTION INC Number Street Apartment or Suite Number 655 Edmonds Way City State Zip Phone Number Extension Edmonds WA 98020 425-776-1367 State License Number License Expiration Date UBI # E-mail Address CHERMCI110NU 8/15/2023 601185531 design(a)chermak.com Project Location Number Street Floor Number Suite or Room Number 113 5TH AVE S 1 None City Zip Code County Parcel Number EDMONDS 98020 00434212003800 Associated Building Permit Number Tenant Name BLD2021-0293 Juice N Joe Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Katrina Grimes Number Street Apartment or Suite Number 13805 MERIDIAN DR SE City State Zip EVERETT WA 98208-6910 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: 7/11/2022 Submitted By: Chermak Construction Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1160771 - Juice N Joe Project Contact Company Name: Chermak Construction Name: Kim Lampers Email: kimberly@chermak.com Address: 655 Edmonds Way Phone #: (425) 776-1367 Edmonds WA 98020 Project Type Nonresidential Activity Type Tenant Improvement - Change of Use Project Name: Juice N Joe Description of Work: Tenant Improvement - change of use. Converting a real estate office into a juice bar. Project Details Project Information Square Feet -Tenant 360 Use Information Use - existing Real Estate Office Use - proposed Juice Bar Work Location Work Description/Location (example: 1 st floor, Main floor Master Bath, Garage) Page 2 of 2