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BLD2022-1183+Application+9.6.2022_11.34.36_AM+3091377CITY OF EDMONDS MyBuitdingPermit.com Building Application #1197796 - Firdale Village Fire II - Future Tenant 9605B Applicant First Name Last Name Company Name Jesse Binford BC Investigative Enqineers Number Street Apartment or Suite Number E-mail Address 3605 C St NE jbinford(Dbcie.net City State Zip Phone Number Extension Auburn WA 98002 (253) 833-5557 Contractor Company Name Statewide Restoration Inc Number Street Apartment or Suite Number 12838-A NE Airport Way City State Zip Phone Number Extension Woodinville WA 98072 4254027170 State License Number License Expiration Date UBI # E-mail Address STATERI866KH 7/2/2024 603401001 nik.t(aD_gostatewide.com Project Location Number Street 9617 FIRDALE AVE City Zip Code EDMONDS 98020 Associated Building Permit Number BLD2021-0240 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name County Parcel Number 00449900000100 Tenant Name Vacant Last Name or Company Name FIRDALE ASSOCIATES LLC Floor Number Suite or Room Number Basement 9605-B Number Street Apartment or Suite Number 9500 ROOSEVELT WAY NE 100 City State Zip SEATTLE WA 98115 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: 9/6/2022 Submitted By: Jesse Binford Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1197796 - Firdale Village Fire II - Future Tenant 9605B Project Contact Company Name: BC Investigative Engineers Name: Jesse Binford Email: jbinford@bcie.net Address: 3605 C St NE Phone #: (253) 833-5557 Auburn WA 98002 Project Type Nonresidential Activity Type New Construction Scope of Work Primary Building Project Name: Firdale Village Fire II - Future Tenant 9605B Description of Fire Damage. Rebuild structure over existing foundation, with improvements to foundation Work: and new footings as required. Tenant space (811 sgft) in basement to be rebuilt for future tenant Project Details Construction Type VA Page 2 of 2