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BLD2024-1058+Application+8.13.2024_2.38.47_PM+4438293CITY OF EDMONDS MyBuitdingPermit.com Building Application #1532277 - karen van seismic retrofit Applicant First Name Last Name Company Name Ryan Vytlacil SEATTLE SEISMIC LLC Number Street Apartment or Suite Number E-mail Address 6712 34th Ave SW ryan(cD_seattleretrofit.com City State Zip Phone Number Extension Seattle WA 98126-4208 (206) 384-6585 Contractor Company Name SEATTLE SEISMIC LLC Number Street Apartment or Suite Number 14054 2nd Ave NW City State Zip Phone Number Extension SEATTLE WA 98177 (206) 384-6585 State License Number License Expiration Date UBI # E-mail Address SEATTSL807JL 6/24/2026 604497688 ryanCcDseattleretrofit. com Project Location Number Street Floor Number Suite or Room Number 8624 MADRONA LN City Zip Code County Parcel Number EDMONDS 98026 00504700201100 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 Felipe O & Vandeqrift Karen M Ramon Number Street Apartment or Suite Number 8624 MADRONA LN City State Zip EDMONDS WA 98026-8652 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: 8/13/2024 Submitted By: Ryan Vytlacil Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1532277 - karen van seismic retrofit Project Contact Company Name: SEATTLE SEISMIC LLC Name: Ryan Vytlacil Email: ryan@seattleretrofit.com Address: 6712 34th Ave SW Phone #: (206) 384-6585 Seattle WA 98126-4208 Project Type Single Family Residential Activity Type Scope of Work Remodel Residence Project Name: karen van seismic retrofit Description of voluntary seismic retrofit of single family home, per engineered plan. no additional sq ft. no Work: changes to interior. no removal or change of existing structure. hardware is additional only. work in crawlspace only. 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 Contact Information Owner Email Address crawlspace only $8,000 ryan@seattleretrofit.com Page 2 of 2