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BLD2022-0355+Application+3.22.2022_12.11.07_PM+2753148CITY OF EDMONDS MyBuildingPermit.com Building Application #1111891 - Hurwit Foundation Repair Applicant First Name Last Name Company Name Alesha Stickles R&R Foundation Specialist Number Street Apartment or Suite Number E-mail Address 3409 McDougall Ave Suite 204 Permits(cD_rrspecialist.net City State Zip Phone Number Extension Everett WA 98201 4255838062 Contractor Company Name R&R FOUNDATION SPECIALIST LLC Number Street Apartment or Suite Number 3409 me City State Zip Phone Number Extension Everett WA 98201 4255838062 State License Number License Expiration Date UBI # E-mail Address RRFOUFS829DA 3/1 /2024 604196960 alesha(cD_rrspecialist.net Project Location Number Street Floor Number Suite or Room Number 10128 240TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00555000001500 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 Nick Hurwit Number Street Apartment or Suite Number 905 NE 66TH ST City State Zip SEATTLE WA 98115 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: 3/22/2022 Submitted By: Alesha Stickles Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #1111891 - Hurwit Foundation Repair Project Contact Company Name: R&R Foundation Specialist Name: Alesha Stickles Email: Permits@rrspecialist.net Address: 3409 McDougall Ave Suite 204 Phone #: 4255838062 Everett WA 98201 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: Hurwit Foundation Repair Description of Work: Installation of 7 helical after settling to stabilize 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 Perimeter of found ation/crawlspace $13,400 Page 2 of 2