20170103143125.pdf1215TH AVENUE NORTH - EDMONDS, WA 98020
0' r CITY OF EDMONDS
PHONE: (425) 771-0220 - FAX
(425)' 771-0221
9 1
Parcel No: 0038040000100
SPROUTS LLC MOUNTAIN GOAT ROOFING MOUNTAIN GOAT ROOFING
C/O JENNIFER GIFFORD 1804 LOCUST WAY 1804 LOCUST WAY;
9403 232ND ST SW LYNNWOOD, WA 98036 LYNNWOOD, WA' 98036
EDMONDS, WA `98020
(206)625-0190(206)625-0,190
LICENSE#: MOUNTGR025D7 EXP:06/25/201
REPLACE EXISTING COMPOSITION ROOFING WITH COMPOSITION ROOFING- SHEATHING INCLUDED
VALUATION: '$000
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK"AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
H SAPPI.c)C' ° : IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR POHEII DEPUTY AND Alit, FEES ARE PAID.
Signature Idrw1 HwpI Date Released By Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL' INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC110/ IRC110:
ONLINE APPLICANT ASSESSOR' OTHER