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BLD2021-0357+Application+3.10.2021_9.23.03_AM+2057959CITY OF EDMONDS MyBuildingPermit.com Building Application #925584 - 99 RANCH MARKET REMODEL Applicant First Name Last Name Company Name Keith Smith smith co Ilc Number Street Apartment or Suite Number E-mail Address 603 Stewart Street Suite 610 ksmith(@fsmithco.orq City State Zip Phone Number Extension seattle WA 98101 2067134076 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location State Zip License Expiration Date Number Street 22511 HIGHWAY 99 S City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Phone Number Extension UBI # E-mail Address County Parcel Number 27042900307400 Tenant Name 99 RANCH MARKET Last Name or Company Name FRANKLIN-EDMONDS LLC Floor Number 1 Suite or Room Number MAIN LEVEL Number Street Apartment or Suite Number 15015 MAIN ST 203 City State Zip BELLEVUE WA 98007 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: 3/10/2021 Submitted By: Keith Smith Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #925584 - 99 RANCH MARKET REMODEL Project Contact Company Name: smith co Ilc Name: Keith Smith Email: ksmith@smithco.org Address: 603 Stewart Street Suite 610 Phone #: 2067134076 seattle WA 98101 Project Type Nonresidential Activity Type Remodel Project Name: 99 RANCH MARKET REMODEL Description of INTERIOR REMODEL OF EXISTING GROCERY STORE, NEW BAKERY AREA AND Work: FOCAL SEAFOOD, NEW FINISHES AND REPLACING LIGHTING IN MAIN GROCERY AREA ONLY, UPGRADING TO NEW FIXTURES IN MAIN GROCERY AREA Project Details Project Information Square Feet -Tenant 25,399 Valuation Fair Market Value of Construction Work $250,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2