BLD2023-1482+Application+11.17.2023_2.55.33_PM+3908340CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1406462 - Boucher 122176
Applicant
First Name Last Name Company Name
Ashley Haney Terrafirma Foundation Systems
Number Street Apartment or Suite Number E-mail Address
10111 South Tacoma Way D4 tacomapermits(cD_goterrafirma.com
City State Zip Phone Number Extension
Lakewood WA 98499 (971) 205-2223
Contractor
Company Name
TERRAFIRMA FOUNDATION RPR INC
Number Street Apartment or Suite Number
13110 SW wall st
City State Zip Phone Number Extension
Tiqard OR 97223 (971) 205-5223
State License Number License Expiration Date UBI # E-mail Address
TERRAFR931 LH 6/16/2025 602582993 ashley.haney(a)_goterrafirma.com
Project Location
Number Street Floor Number Suite or Room Number
21321 PIONEER WAY
City Zip Code County Parcel Number
EDMONDS 98026 00649900000300
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
Samuel & Metzger Kathleen Boucher
Number Street Apartment or Suite Number
21321 PIONEER WAY
City State Zip
EDMONDS WA 98026
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: 11/17/2023 Submitted By: Ashley Haney
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1406462 - Boucher 122176
Project Contact
Company Name: Terrafirma Foundation
Systems
Name: Ashley Haney Email: tacomapermits@goterrafirma.com
Address: 1104111 South Tacoma Way Phone #: (971) 205-2223
Lakewood WA 98499
Project Type Activity Type Scope of Work
Single Family Residential Interior Alteration Accessory Dwelling Unit
Project Name: Boucher 122176
Description of Work: Installation of Egress window w/ well & sump pump
Project Details
Accessory Dwelling Unit Information
Square feet - primary dwelling unit
Square Feet of the accessory dwelling unit.
The floor the ADU is located in.
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
Plumbing work will occur during this project.
Additional Project Information
Fair Market Value of Remodel Work
Contact Information
Owner Email Address
2,680
1
2
$12,000
samboucher@live.com
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