BLD2022-0998+Application+7.28.2022_10.42.28_AM+3018251CITY OF EDMONDS MyBuitdingPermit.com
Building Application #1179979 - SanKai Igloo Dining
Applicant
First Name Last Name Company Name
Shubert Ho
Number Street Apartment or Suite Number E-mail Address
111 4th Ave N shubert(c�feedmehrq.com
City State Zip Phone Number Extension
edmonds WA 98020 (206) 588-5148
Contractor
Company Name
CUSTOM WOODWORK
Number Street Apartment or Suite Number
1312 3RD ST
City
KIRKLAND
State License Number
CUSTOW*178RR
Project Location
Number Street
111 4TH AVE N
City
EDMONDS
Associated Building Permit Number
State Zip
WA 980335535
License Expiration Date UBI #
10/19/2022 600411284
Zip Code County Parcel Number
98020 00434400600100
Tenant Name
SanKai
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
*
Phone Number Extension
2065885148
E-mail Address
shubertho(cD_gmail.com
Floor Number Suite or Room Number
1 0
Last Name or Company Name
THIRD AVENUE SOUTH PROPERTIES LLC
Number Street Apartment or Suite Number
8451 SE 68TH ST 200
City State Zip
MERCER ISLAND WA 98040
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: 7/28/2022 Submitted By: Shubert Ho
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CITY OF EDMONDS MyBuildinBPermit.com
Building Application #1179979 - SanKai Igloo Dining
Project Contact
Company Name:
Name: Shubert Ho Email: shubert@feedmehrg.com
Address: 111 4th Ave N Phone #: (206) 588-5148
edmonds WA 98020
Project Type Activity Type Scope of Work
Nonresidential New Construction Accessory Building
Project Name: SanKai Igloo Dining
Description of Work: To install approved polycarb igloo dining for temporary offseason outside dining.
Project Details
Structure Type
Other Structure
Project Information
Square Feet - Building 314
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
No plumbing work will occur during this project.
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