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BLD2024-0791+Application+6.13.2024_3.31.03_PM+4321682CITY OF EDMONDS Sign Application #1503917 - Awning Applicant First Name Last Name Josh Sieqel Number Street 410 Walnut Street City State Zip Edmonds WA 98020 Contractor Company Name NORTHWEST AWNING & FABRIC INC Number Street 4448 27th Ave W City State Zip Seattle WA 98199 i MyBuitdingPermit.com Company Name Walnut Street Coffee Apartment or Suite Number E-mail Address josh(@,waInutstreetcoffee.com Phone Number Extension (206) 909-7043 State License Number License Expiration Date UBI # NORTHAF141 PC 10/8/2024 600629286 Project Location Apartment or Suite Number Phone Number Extension (206) 285-2941 E-mail Address info(aD_northwestawninq.com Number Street Floor Number 410 WALNUT 1 City Zip Code County Parcel Number EDMONDS 98020 27032300413500 Associated Building Permit Number Tenant Name Awninq Walnut Street Coffee Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 1326 Last Name or Company Name 504 FIFTH AVENUE SOUTH LLC Suite or Room Number None Apartment or Suite Number City State Zip EDMONDS WA 98020 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: 6/13/2024 Submitted By: Josh Siegel Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Sign Application #1503917 - Awning Project Contact Company Name: Walnut Street Coffee Name: Josh Siegel Email: josh@waInutstreetcoffee.com Address: 410 Walnut Street Phone #: (206) 909-7043 Edmonds WA 98020 Project Type Activity Type Scope of Work Nonresidential Permanent Sign Wall or Building Project Name: Awning Description of Work: Retroactive permit for awning installed in 2020 by previous owner. Awning located on East side of building exterior in parking lot. Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 1 Page 2 of 2