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BLD2023-0129+Application+1.31.2023_2.24.52_PM+3343721CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1252893 - Kathy Oard Residence Applicant First Name Last Name Company Name Tatiana Menhardtova Seattle Foundation Repair Number Street Apartment or Suite Number E-mail Address 12843 NE 14th PL tatiana(cD_seattlefoundationrepairs.com City State Zip Phone Number Extension Bellevue WA 98005 (206) 889-6751 Contractor Company Name SEATTLE FOUNDATION REPAIR LLC Number Street Apartment or Suite Number 12843 NE 14th PL City State Zip Phone Number Extension BELLEVUE WA 98005 (206) 889-6751 State License Number License Expiration Date UBI # E-mail Address SEATTFR803CG 2/7/2024 604502269 tatiana(a)_seattlefoundationrepairs.com Project Location Number Street Floor Number Suite or Room Number 20906 WOODLAKE DR City Zip Code County Parcel Number EDMONDS 98026 00637700000600 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 Katherine R Oard Number Street Apartment or Suite Number 20906 WOODLAKE DR City State Zip EDMONDS WA 98206 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: 1/31/2023 Submitted By: Tatiana Menhardtova Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1252893 - Kathy Oard Residence Project Contact Company Name: Seattle Foundation Repair Name: Tatiana Menhardtova Email: tatiana@seattlefoundationrepairs.com Address: 12843 NE 14th PL Phone #: (206) 889-6751 Bellevue WA 98005 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: Kathy Oard Residence Description of Work: Post and Beam repair as per engineering plans 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 Contact Information Owner Email Address Crawlspace (foundation) $27,454 tatiana@seattlefoundationrepairs.com Page 2 of 2