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BLD2022-1231+Application+9.15.2022_1.22.04_PM+3110961CITY OF EDMONDS nn BuildingPermit.com Building Application #1202618 - Peterson Residence - Foundation Repair Applicant First Name Last Name Company Name Permit Manaqer Matvey Foundation Repair Number Street Apartment or Suite Number E-mail Address 18915 16th Ave S permits(�D_gomatvey.com City State Zip Phone Number Extension Seatac WA 98188 (253) 327-1650 Contractor Company Name MATVEY CONSTRUCTION INC Number Street Apartment or Suite Number 18915 16th Ave S City State Zip Phone Number Extension Seatac WA 98188 (253) 327-1650 State License Number License Expiration Date UBI # E-mail Address MATVEFR837K5 6/15/2023 602080798 permits(a-)_gomatvey.com Project Location Number Street Floor Number Suite or Room Number 10116 241 ST PL SW City Zip Code County Parcel Number EDMONDS 98020 00555000000500 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 Randolph & Barbara Peterson Number Street Apartment or Suite Number 10116 241 ST PL 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: 9/15/2022 Submitted By: Permit Manager Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1202618 - Peterson Residence - Foundation Repair Project Contact Company Name: Matvey Foundation Repair Name: Ayden Wagner Email: permits@gomatvey.com Address: 18915 16th Ave S Phone #: (206) 660-7971 Seatac WA 98188 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Peterson Residence - Foundation Repair Description of Work: Underpinning the existing single family residence to stabilize the foundation, using pin piles per plans. Project Details Increasing Building Height? The height of the building is not increasing. Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Site Information There are no critical areas. 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 Construction Work Under the existing foundation of the residence, per plans. $4,950 Page 2 of 2