BLD2021-1383_Application_10.7.2021_11.28.33_AM_2450236CITY OF EDMONDS MyBuildingPermit.com
Building Application #1031351 -Seismic Retrofit Close -Out
Applicant
First Name Last Name Company Name
Jehiel Baer
Number Street Apartment or Suite Number E-mail Address
10408 231 st St. SW jehielbaer@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 4438785585
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 F;ni_r,_r).r)91:1 jehielbaer@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
10408 231 ST ST SW Basement and All
City Zip Code County Parcel Number
EDMONDS 98020 00426100000900
Associated Building Permit Number Tenant Name
BLD2019-0254
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Jehiel Isaac Baer
Number Street Apartment or Suite Number
10408 231 ST ST SW
City State Zip
EDMONDS WA 98020
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: 10/7/2021 Submitted By: Jehiel Baer
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1031351 - Seismic Retrofit Close -Out
Project Contact
Company Name:
Name: Jehiel Baer Email: jehielbaer@gmail.com
Address: 10408 231st St. SW Phone #: 4438785585
Edmonds WA 98020
Project Type Activity Type
Any Project Type Preapplication Services
Project Name: Seismic Retrofit Close -Out
Description of Work: Applying for permit to close out your expired permit
Project Details
Work Location
Work Description/Location (example: 1 st floor, Basement --closing out expired permit.
Master Bath, Garage)
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