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Application_2021-0491CITY OF EDMONDS MyBuildingPermit.com Building Application #946118 Applicant First Name Last Name Company Name Tony Balaoro Regal Roofing & Contracting, LLC Number Street Apartment or Suite Number E-mail Address P.O. Box 30909 Info@RegalRoof.com City State Zip Phone Number Extension Seattle WA 98113-0909 2067842689 Contractor Company Name REGAL ROOFING/CONTRACTING LLC Number Street Apartment or Suite Number 9249 7th Ave. NW City State Zip Phone Number Extension Seattle WA 98117 (206) 784-2689 State License Number License Expiration Date UBI # E-mail Address REGALRL897ML 7/13/2021 F;mi194544 Info@RegalRoof.com Project Location Number Street Floor Number Suite or Room Number 16622 72ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00513100010507 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 William K Stapleton Number Street Apartment or Suite Number 16622 72ND AVE W City State Zip EDMONDS WA 98026-5100 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent, including an appropriately licensed contractor. I have furnished true and correct information. I will comply with all provisions of law and ordinances governing this type of construction work, whether specific herein or not. By submitting this application I give the jurisdiction permission to enter the property to perform inspections. I understand that failure to comply with the above may result in revocation of the permit. Date Submitted: 4/7/2021 Submitted By: Tony Balaoro Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #946118 Project Type Single Family Residential Project Details Increasing Building Height? Activity Type Scope of Work Re -Roof Replacement - Roofing Only Residence The height of the building is not increasing. Page 2 of 2