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BLD2021-0755+Application+6.2.2021_10.03.56_AM+2227400CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #970825 - Anthology of Edmonds Senior Living Applicant First Name Last Name Company Name Richard Grimes Ankrom Moisan Architects Number Street Apartment or Suite Number E-mail Address 38 NW Davis St 300 richardq(abankrommoisan.com City State Zip Phone Number Extension Portland OR 97209 5039521563 Contractor Company Name GRAHAM CONST & MANAGEMENT INC Number Street Apartment or Suite Number 568 1 st ave s. 400 City State Zip Phone Number Extension Seattle WA 98104 206-561-3500 State License Number License Expiration Date UBI # E-mail Address GRAHACM954CG 9/18/2021 602136692 losh.koehler(D_grahamus.com Project Location Number Street Floor Number Suite or Room Number 21200 72ND AVE W All City Zip Code County Parcel Number EDMONDS 98026 00580700000401 Associated Building Permit Number Tenant Name BLD2021-0088 CA Senior Livinq Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name JAS GROUP LLC Number Street Apartment or Suite Number 154 LAKE WASHINGTON BLVD E City State Zip SEATTLE WA 98112 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: 6/2/2021 Submitted By: Richard Grimes Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Plumbing Application #970825 - Anthology of Edmonds Senior Living Project Contact Company Name: Ankrom Moisan Architects Name: Richard Grimes Email: richardg@ankrommoisan.com Address: 38 NW Davis St 300 Phone #: 5039521563 Portland OR 97209 Project Type Multifamily Residential Activity Type New Scope of Work Plumbing Project Name: Anthology of Edmonds Senior Living Description of Work: New ground up senior living facility, with 127 resident unit, a commercial kitchen and common areas for resident use. Project Details Associated Building Permit? There is or will be a building permit associated with this work at the project location. Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Work to be performed by a licensed contractor Yes New ground up building, plumbing provide on all levels. Page 2 of 2