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BLD2024-1002+Application+8.1.2024_4.00.01_PM+4416938CITY OF EDMONDS MyBuitdingPermit.com Building Application #1526970 - 7714 Jacobson Foundation Repair Applicant First Name Last Name Company Name RR Foundation R&R Foundation Specialist Number Street Apartment or Suite Number E-mail Address 1611 E Marine View Dr Perm its(LDrrspecialist.net City State Zip Phone Number Extension Everett WA 98201 (425) 760-5077 Contractor Company Name R&R FOUNDATION SPECIALIST LLC Number Street Apartment or Suite Number 1611 E Marine View Dr City State Zip Phone Number Extension Everett WA 98201 (425) 760-5077 State License Number License Expiration Date UBI # E-mail Address RRFOUFS829DA 3/1/2026 604196960 Permits(aD_rrspecialist.net Project Location Number Street Floor Number Suite or Room Number 7714 201 ST ST SW City Zip Code County Parcel Number EDMONDS 98026 27041900107200 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 Lance & Kathleen Jacobson Number Street Apartment or Suite Number 7714 201 ST 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: 8/1/2024 Submitted By: RR Foundation Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1526970 - 7714 Jacobson Foundation Repair Project Contact Company Name: R&R Foundation Specialist Name: RR Foundation Email: Permits@rrspecialist.net Address: 1611 E Marine View Dr Phone #: (425) 760-5077 Everett WA 98201 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: 7714 Jacobson Foundation Repair Description of Work: Installation of 7 helicals to stabilize the SFR after settling 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, exterior foundation Master Bath, Garage) Valuation Fair Market Value of Remodeling Work $18,420 Exterior Changes? The work does not involve changes to the exterior Contact Information Owner Email Address alesha@rrspecialist.net Page 2 of 2