BLD2024-1477+Application+11.8.2024_4.05.05_PM+4610819CITY OF EDMONDS MyBuildingPermit.com
Building Application #1575738 - Swedish Edmonds Medical Pavilion Basement
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�tgbarchitects.com
City State Zip Phone Number Extension
Edmonds WA 98026 (425) 778-1530
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
Number Street
7320 216TH ST SW
City
EDMONDS
Associated Building Permit Number
State Zip
License Expiration Date UBI #
Zip Code County Parcel Number
98026 00580700002902
Tenant Name
Swedish
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
STEVENS PAVILLION LLC
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
basement 10
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: 11/8/2024 Submitted By: Amanda Promisloff
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CITY OF EDMONDS MyBuildinBPermit.com
Building Application #1575738 - Swedish Edmonds Medical Pavilion Basement
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 Edmonds Medical Pavilion Basement
Description of REMODEL OF EXISTING PRINT SHOP AND STAFF AREA TO A BREAK ROOM,
Work: OFFICES, CONFERENCE ROOM, AND IS CLOSET. NO STRUCTURAL WORK. NO
EXTERIOR WORK. AREA OF WORK: 1,728 SQ FT
Project Details
Project Information
Square Feet -Tenant
1,728
Use Information
Use - existing
Business
Use - proposed
Business
Work Location
Work Description/Location (example: 1st floor,
Basement Suite 10
Master Bath, Garage)
Valuation
Fair Market Value of Construction Work
$197,792
Exterior Changes?
The work does not involve changes to the exterior
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