BLD2021-0775+Application+6.7.2021_12.55.15_PM+2235439CITY OF EDMOill MyBuildingPermit.com
IF
Building Application #973685 - Maxim Foundation Repair
Applicant
First Name Last Name Company Name
Barbara Stasiak R&R Foundation Specialist
Number Street Apartment or Suite Number E-mail Address
3409 McDougall Ave Suite 204 barbara(Drrspecialist.net
City State Zip Phone Number Extension
Everett WA 98201 4256264841
Contractor
Company Name
R&R FOUNDATION SPECIALIST LLC
Number Street Apartment or Suite Number
3409 McDougall Ave Suite 204
City State Zip Phone Number Extension
Everett WA 98201 (425) 760-5077
State License Number License Expiration Date UBI # E-mail Address
RRFOUFS829DA 3/1/2022 604196960 barbara(a_rrspecialist.net
Project Location
Number Street Floor Number Suite or Room Number
10623 229TH PL SW
City Zip Code County Parcel Number
EDMONDS 98020 00610500000300
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
Eric A & Peggy Peterson
Number Street Apartment or Suite Number
10623 229TH PL SW
City State Zip
EDMONDS WA 98020
Certification Statement - The applicant states:
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.
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: 6/7/2021 Submitted By: Barbara Stasiak
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #973685 - Maxim Foundation Repair
Project Contact
Company Name: R&R Foundation Specialist
Name: Barbara Stasiak Email: barbara@rrspecialist.net
Address: 3409 McDougall Ave Suite 204 Phone #: 4256264841
Everett WA 98201
Project Type Activity Type Scope of Work
Single Family Residential Remodel Residence
Project Name: Maxim Foundation Repair
Description of Work: crew will install helical piles to stabilize and lift foundation to maximum practical
recovery
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: 1 st floor,
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work
Exterior Changes?
The work does not involve changes to the exterior
Foundation
$39,220
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