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BLD2025-0195+Application+2.10.2025_8.48.57_AM+4753302CITY OF EDMONDS MyBuitdingPermit.com Building Application #1611776 - Darlington -Gaston Retrofit Applicant First Name Last Name Company Name Matt Robinson EVERGREEN SEISMIC LLC Number Street Apartment or Suite Number E-mail Address 21304 82nd PI SE info(@_evergreenseismic.com City State Zip Phone Number Extension Snohomish WA 98290 (206) 715-3957 Contractor Company Name EVERGREEN SEISMIC LLC Number Street Apartment or Suite Number 21304 82nd PI SE City State Zip Phone Number Extension SNOHOMISH WA 98290 (206) 715-3957 State License Number License Expiration Date UBI # E-mail Address EVERGSL823JF 4/12/2026 604237947 info(a-)_evergreenseismic.com Project Location Number Street Floor Number Suite or Room Number 24206 89TH PL W City Zip Code County Parcel Number EDMONDS 98026 00511700000100 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 Cheryl D & Gaston Luke Darlington Number Street Apartment or Suite Number 24206 89TH PL W City State Zip EDMONDS WA 98026-9010 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: 2/10/2025 Submitted By: Matt Robinson Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1611776 - Darlington -Gaston Retrofit Project Contact Company Name: EVERGREEN SEISMIC LLC Name: Matt Robinson Email: info@evergreenseismic.com Address: 21304 82nd PI SE Phone #: (206) 715-3957 Snohomish WA 98290 Project Type Activity Type Scope of Work Single Family Residential Remodel Residence Project Name: Darlington -Gaston Retrofit Description of Work: Voluntary seismic retrofit upgrade to basement of SFR, per engineered plan set. No earth disturbance. 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 Voluntary seismic retrofit upgrade to basement of SFR $4,500 cheryl@cheryl.darlington.com Page 2 of 2