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BLD2022-1079+Application+8.12.2022_1.51.23_PM+3048247CITY OF EDMONDS MyBuilaingPermit.com Building Application #1187116 - Peterson Foundation Repair Applicant First Name Last Name Company Name DENNIS TITUS CG Engineering Number Street Apartment or Suite Number E-mail Address 250 4th ave s 200 dennist(�D_cgengineerinq.com City State Zip Phone Number Extension Edmonds WA 98020 (425) 778-8500 Contractor Company Name Contractor Unknown Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 9216 SIERRA ST City Zip Code County Parcel Number EDMONDS 98020 00572800000700 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 Brian\ Emily Peterson Number Street Apartment or Suite Number 9216 SIERRA ST 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: 8/12/2022 Submitted By: DENNIS TITUS Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.com Building Application #1187116 - Peterson Foundation Repair Project Contact Company Name: CG Engineering Name: DENNIS TITUS Address: 250 4th ave s 200 Edmonds WA 98020 Project Type Single Family Residential Email: dennist@cgengineering.com Phone #: (425) 778-8500 Activity Type Scope of Work Remodel Residence Project Name: Peterson Foundation Repair Description of Pipe piles will be installed to stabilize and support the existing foundation. The piles will be Work: limited to the west and partially along the north sides of the house. The existing grade and exterior of the house will not change. Project Details Mechanical Included? No mechanical work will occur during this project. Plumbing Included? 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 Contact Information Owner Email Address Install pipe piles to support the existing foundation. The pile installation will be limited to the west side of the house and partially along the north side. The existing grade will not change. $25,000 briantp2@gmail.com Page 2 of 2