BLD2022-0141+Application+2.3.2022_9.03.06_AM+2658881CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1086807 - 22512 92nd Ave W
Applicant
First Name Last Name Company Name
Desiree Brusewitz Ram Jack West
Number Street Apartment or Suite Number E-mail Address
P.O. Box 11701
City State Zip
EUGENE OR 97440
Contractor
Company Name
RAMJACK WEST
Number Street
PO BOX 11701
Perm its(�D_ramiackwest.com
Phone Number Extension
541-520-3690
Apartment or Suite Number
City State Zip Phone Number Extension
EUGENE OR 97440 541-520-3690
State License Number License Expiration Date UBI # E-mail Address
RAMJAW*852PW 5/28/2023 603499720 permits(cD_ramiackwest.com
Project Location
Number Street Floor Number Suite or Room Number
22512 92ND AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00544300002401
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
Kimberly R Calkins
Number Street Apartment or Suite Number
22512 92ND AVE W
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: 2/3/2022 Submitted By: Desiree Brusewitz
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1086807 - 22512 92nd Ave W
Project Contact
Company Name: Ram Jack West
Name: Desiree Brusewitz Email: permits@ramjackwest.com
Address: P.O. Box 11701 Phone #: 541-520-3690
EUGENE OR 97440
Project Type Activity Type
Single Family Residential Remodel
Project Name: 22512 92nd Ave W
Description of Work: Voluntary repair of existing foundation
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
Voluntary repair of existing foundation
$30,470
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