BLD2024-1296+Application+10.2.2024_1.44.53_PM+4537433CITY OF EDMONDS MyBuildingPermit.com
Building Application #1555605 - SWEDISH PHP/IOP
Applicant
First Name Last Name Company Name
Amanda Promisloff TGB Architects
Number Street Apartment or Suite Number E-mail Address
21911 76th Ave W Suite 210 apromisloff(a�tgbarchitects.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 778-1530
Contractor
Company Name
Metropolitan Contractinq LLC
Number Street Apartment or Suite Number
5512 6TH AVE S
City State Zip Phone Number Extension
Seattle WA 98108 (206) 223-4900
State License Number License Expiration Date UBI # E-mail Address
METROCL974ON 10/3/2025 602314643 Jeff(a�_metropolitancontractinq.com
Project Location
Number Street Floor Number
21701 76TH AVE W 2
City Zip Code County Parcel Number
EDMONDS 98026 00580700002702
Associated Building Permit Number Tenant Name
SWEDISH PHP/IOP
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Number Street
PO BOX 92129
Last Name or Company Name
HR ACQUISITION I CORPORATION
Suite or Room Number
200
Apartment or Suite Number
City State Zip
SOUTHLAKE TX 76092
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: 10/2/2024 Submitted By: Amanda Promisloff
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1555605 - SWEDISH PHP/IOP
Project Contact
Company Name: TGB Architects
Name: Amanda Promisloff Email: apromisloff@tgbarchitects.com
Address: 21911 76th Ave W Suite Phone #: (425) 778-1530
10
Edmonds WA 98026
Project Type Activity Type
Nonresidential Tenant Improvement
Project Name: SWEDISH PHP/IOP
Description of REMODEL OF EXISTING CLINIC SPACE INTO A TREATMENT FACILITY FOR
Work: PHP/IOP. WORK TO INCLUDE NEW GROUP ROOMS, ACTIVITIES ROOM, WORK
ROOMS AND OFFICES
Project Details
Project Information
Square Feet -Tenant 2,964
Use Information
Use - existing B-BUSINESS
Use - proposed B-BUSINESS
Work Location
Work Description/Location (example: 1st floor, 2ND FLOOR SUITE 200
Master Bath, Garage)
Valuation
Fair Market Value of Construction Work $75,000
Exterior Changes?
The work does not involve changes to the exterior
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