BLD2022-0763+Application+6.10.2022_1.36.42_PM+2925635CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1143421 - Roosendaal Remodel
Applicant
First Name Last Name Company Name
Darryl Roosendaal
Number Street Apartment or Suite Number E-mail Address
P.O. Box 207 darrylr50�D_frontier.com
City State Zip Phone Number Extension
Chelan WA 98816 (206) 940-6250
Contractor
Company Name
R G H INCORPORATED
Number
Street
PO BOX 1214
City
State Zip
EDMONDS
WA 98020
State License Number
License Expiration Date
RGHINI*965DE
4/21/2024
Project Location
Number
Street
24132
102ND PL W
City
Zip Code
EDMONDS
98020
Associated Building Permit
Number
CRA2022-0071
Additional Information (i.e.
equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
2069403143 4257788791
UBI # E-mail Address
602356054 Rghconst(a_comcast.net
County Parcel Number
00555000004100
Tenant Name
Floor Number Suite or Room Number
First Name Last Name or Company Name
Darryl W. & Lamona G. Roosendaal
Number Street Apartment or Suite Number
P.O. Box 207
City State Zip
Chelan WA 98816
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: 6/10/2022 Submitted By: Darryl Roosendaal
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CITY OF EDMONDS Mysu;laingPerrnit.com
Building Application #1143421 - Roosendaal Remodel
Project Contact
Company Name:
Name: Darryl Roosendaal Email: darrylr50@frontier.com
Address: P.O. Box 207 Phone #: (206) 940-6250
Chelan WA 98816
Project Type Activity Type Scope of Work
Single Family Residential Remodel Residence
Project Name: Roosendaal Remodel
Description of Work: Remodel kitchen; Remodel master bedroom with walk-in closet; Remodel master
bathroom
Project Details
Mechanical Included?
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
Kitchen remodel; Primary bedroom remodel with
walk-in closet; Primary Bathroom remodel.
$100,000
Darrylr50@frontier.com
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