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BLD2023-0705+Application+6.7.2023_9.10.55_AM+3593235CITY OF EDMONDS MyBuildingPermit.com Building Application #1328973 - Old Mill Town - Suite 200 Demising Applicant First Name Last Name Company Name Chelsea Merkel Freiheit Architecture Number Street Apartment or Suite Number E-mail Address 505 106th Ave NE 302 cmerkel(@_freiheitarch.com City State Zip Phone Number Extension Bellevue Wa 98004 (425) 827-2100 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number city State License Number Project Location Number Street 201 5TH AVE S city EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 00434212100100 Tenant Name Hotel Group Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 5003 Phone Number Extension E-mail Address Floor Number Suite or Room Number 2 200 Last Name or Company Name R H OLD MILL TOWN ASSOC LLC Apartment or Suite Number City State Zip BELLEVUE WA 98009 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: 6/7/2023 Submitted By: Chelsea Merkel Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1328973 - Old Mill Town - Suite 200 Demising Project Contact Company Name: Freiheit Architecture Name: Chelsea Merkel Email: cmerkel@freiheitarch.com Address: 505 106th Ave NE 302 Phone #: (425) 827-2100 Bellevue Washington 98004 Project Type Nonresidential Activity Type Remodel Project Name: Old Mill Town - Suite 200 Demising Description of Work: Project will include minimal demolition and new non-structural interior demising wall construction in preparation for future tenant improvement. Project Details Project Information Square Feet -Tenant 7,210 Valuation Fair Market Value of Construction Work $16,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2