BLD2021-1078+Application+8.3.2021_7.50.13_PM+2337654CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1000885 - Darrell de Rochier
Applicant
First Name Last Name Company Name
Rocky Adams SEISMIC NORTHWEST LLP
Number Street Apartment or Suite Number E-mail Address
9817 Shoreland Dr SE seismicnorthwest(�D_gmail.com
City State Zip Phone Number Extension
Bellevue WA 98004 2062571133
Contractor
Company Name
SEISMIC NORTHWEST LLP
Number Street Apartment or Suite Number
6430 131 ST AVE SE
City State Zip Phone Number Extension
BELLEVUE WA 98006 (831)566-5535
State License Number License Expiration Date UBI # E-mail Address
SEISMNL840CJ 2/12/2022 603555233 seismicnorthwest(@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
24307 77TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00488700300700
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Darrell Derochier
Number Street Apartment or Suite Number
24307 77TH PL W
City State Zip
EDMONDS WA 98026-9110
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: 8/3/2021 Submitted By: Rocky Adams
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1000885 - Darrell de Rochier
Project Contact
Company Name: SEISMIC NORTHWEST LLP
Name: Rocky Adams Email: seismicnorthwest@gmail.com
Address: 9817 Shoreland Dr SE Phone #: 2062571133
Bellevue WA 98004
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: Darrell de Rochier
Description of Work: Voluntary Seismic Retrofit
Project Details
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
No plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work
Exterior Changes?
The work does not involve changes to the exterior
Foundation
$6,000
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