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BLD2024-0452+Application+4.5.2024_11.29.56_AM+4179228CITY OF EDMONDS MyBuitdingPermit.com Building Application #1460579 - Johnston Residence Wall Repair Applicant First Name Last Name Company Name Lisa Johnston Number Street Apartment or Suite Number E-mail Address 17134 Talbot Rd samlijohn(c�aol.com City State Zip Phone Number Extension Edmonds WA 98026 (623) 760-6552 Contractor Company Name ADVANCED FNDTN SUPPORTS LLC Number Street Apartment or Suite Number 22102 spruce drive City State Zip Phone Number Extension MONROE WA 98272 (206) 852-2450 (206) 852-2450 State License Number License Expiration Date UBI # E-mail Address ADVANFS903DH 3/9/2026 602996985 howard(cD_foundationsupports.com Project Location Number Street Floor Number Suite or Room Number 17134 TALBOT RD City Zip Code County Parcel Number EDMONDS 98026 27040700104300 Associated Building Permit Number Tenant Name CRA2024-0049 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Lisa A Ttee Johnston Number Street Apartment or Suite Number 7020 164TH ST SW City State Zip EDMONDS WA 98026 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: 4/5/2024 Submitted By: Lisa Johnston Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1460579 - Johnston Residence Wall Repair Project Contact Company Name: Name: Aron De Los Angeles Email: arond@cgengineering.com Address: 250 4th Ave South, Suite 200 Phone #: (425) 778-8500 Edmonds Washington 98020 Project Type Activity Type Scope of Work Single Family Residential New Construction Retaining Wall Project Name: Johnston Residence Wall Repair Description of Work: Stabilize existing concrete retaining wall with pipe piles and tieback anchors and extend wall. Project Details Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Contact Information Owner Email Address Stabilize existing concrete retaining wall with pipe piles and tieback anchors and extend wall. samlijohn@aol.com Page 2 of 2