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BLD2022-1743+Application+12.27.2022_12.58.31_PM+3286185CITY OF EDMONDS MyBuildingPermit.com Building Application #1246325 - Kruger Common Area Upgrades Applicant First Name Last Name Company Name Rachel Biaqi JPC Architects Number Street Apartment or Suite Number E-mail Address 909 112th Ave NE Suite 206 rachelb(�Dipcarchitects.com City State Zip Phone Number Extension Bellevue WA 98004 (425) 641-9200 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State License Number Project Location Number Street 21600 HWY 99 City EDMONDS Associated Building Permit Number State Zip License Expiration Date Phone Number Extension UBI # E-mail Address Zip Code County Parcel Number 98026 00580700002900 Tenant Name no tenant Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Floor Number Suite or Room Number 1-2 none Last Name or Company Name PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO Number Street Apartment or Suite Number 4710 196TH ST SW City State Zip LYNNWOOD WA 98036-5517 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: 12/27/2022 Submitted By: Rachel Biagi Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1246325 - Kruger Common Area Upgrades Project Contact Company Name: JPC Architects Name: Rachel Biagi Email: rachelb@jpcarchitects.com Address: 909 112th Ave NE Suite 206 Phone #: (425) 641-9200 Bellevue WA 98004 Project Type Nonresidential Activity Type Tenant Improvement Project Name: Kruger Common Area Upgrades Description of Interior modifications to building main lobby, urgent care lobby and main corridors on 1st Work: and 2nd floor. Work includes new interior flooring, wall finishes, ceiling and lighting, new interior suite door replacement and new electrical room. 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 5,967 B-Business B-Business 1st and 2nd floor building lobby and common area corridors. $450, 000 Page 2 of 2