BLD2024-0934+Application+7.18.2024_10.11.58_AM+4386402CITY OF
EDMONDS MyBuitdingPermit.com
Building Application #1516921
- Augustavo Residence - Vehicle Impact Repair
Applicant
First Name
Last Name
Company Name
Chris
Bacus
Pacific Enqineerinq Technoloqies
Number Street
Apartment or Suite Number E-mail Address
2150 N. 107th St.
320 cbacus(o-)_pacengtech.com
City State
Zip
Phone Number Extension
Seattle WA
98133
(206) 281-7500
Contractor
Company Name
KUSTOM US INC
Number Street
Apartment or Suite Number
14253 169th Drive SE
503
City
State Zip
Phone Number Extension
Monroe
WA 98272
(425) 471-8139
State License Number
License Expiration Date
UBI # E-mail Address
KUSTOU1847NQ
8/17/2024
604020885 Ricky. Den ham(o)kustom.us
Project Location
Number Street
Floor Number Suite or Room Number
915 PINE ST
City
Zip Code
County Parcel Number
EDMONDS
98020
27032500116800
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
Edward J & Bayer Auqustavo Kim M Auqustavo
Number Street Apartment or Suite Number
915 PINE ST
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: 7/18/2024 Submitted By: Chris Bacus
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1516921 - Augustavo Residence - Vehicle Impact Repair
Project Contact
Company Name: Pacific Engineering Technologies
Name: Chris Bacus Email: cbacus@pacengtech.com
Address: 2150 N. 107th St. 320 Phone #: (206) 281-7500
Seattle WA 98133
Project Type Activity Type Scope of Work
Single Family Residential Remodel Residence
Project Name: Augustavo Residence - Vehicle Impact Repair
Description of Work: Vehicle Impact Repair to an existing Single -Family Residence
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 involves changes to the exterior
Contact Information
Owner Email Address
1 st Floor Bedroom & Bath
$100,000
kimmbayer@outlook.com
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