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BLD2021-0640+Application+5.7.2021_2.30.28_PM+2185684CITY OF EDMONDS Sign Application #960389 - Pedestrian Sign Applicant First Name Last Name Jodee Israel Number Street Apartment or Suite Number 505 5th Ave S Suite 104 City State Zip Edmonds WA 98020 Contractor Company Name Owner Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 505 5TH AVE S City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name Berkshire Hathaway E-mail Address ]israel@bhhsnwre.com Phone Number Extension 4257782101 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number main 104 County Parcel Number 01070900000100 Tenant Name Berkshire Hathaway First Name Last Name or Company Name PARAGEN PROPERTIES II LLC Number Street Apartment or Suite Number 23929 W WOODWAY LN City State Zip WOODWAY WA 98020-5229 Certification Statement - The applicant states: I 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. I 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: 5/7/2021 Submitted By: Jodee Israel Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #960389 - Pedestrian Sign Project Contact Company Name: Berkshire Hathaway Name: Jodee Israel Email: jisrael@bhhsnwre.com Address: 505 5th Ave S Suite 104 Phone #: 4257782101 Edmonds WA 98020 Project Type Nonresidential Activity Type Permanent Sign Project Name: Pedestrian Sign Description of Work: Install pedestrian Sign by front window Project Details Sign 1 Type Other Additional Project Information Total number of signs installed 1 Total number of signs removed 0 Scope of Work Wall or Building Page 2 of 2