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BLD2024-1305+Application+10.4.2024_9.40.14_AM+4541177CITY OF EDMONDS MyBuildingPermit.com Building Application #1556975 - YGF tenant improvement Applicant First Name Last Name Company Name MAN DY LI U Number Street Apartment or Suite Number E-mail Address 17311 135th Ave NE info(@_lgdesignbuild.com City State Zip Phone Number Extension Woodinville WA 98072 (206) 501-0323 Contractor Company Name Contractor Unknown Number Street City State License Number Project Location Number Street 22315 HIGHWAY 99 City EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98026 27042900302700 Tenant Name YGF Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number 1 UNIT C First Name Last Name or Company Name PACIFIC PLAZA LLC Number Street Apartment or Suite Number 10120 NE 59TH ST City State Zip KIRKLAND WA 98033 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: 10/4/2024 Submitted By: MANDY LIU Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1556975 - YGF tenant improvement Project Contact Company Name: Name: mandy liu Email: info@lgdesignbuild.com Address: 18305 43rd Drive Southeast Phone #: (206) 501-0323 bothell WA 98012 Project Type Activity Type Nonresidential Tenant Improvement Project Name: YGF tenant improvement Description of Work: Tenant improvement for 1993 sf restaurant. Add interior non -bearing walls Project Details Work Location Work Description/Location (example: 1 st floor, 1 st floor tenant space Master Bath, Garage) Valuation Fair Market Value of Construction Work $20,000 Exterior Changes? The work does not involve changes to the exterior Page 2 of 2