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Permit_2021-0491t of EDAf 0 �,c. 189C3 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngng1_nAQ1 Issued Date 4/7/2021 Expiration Date 4/7/2022 Job Address 16622 72ND AVE W Fee Paid $150.90 EDMONDS, 98026 Order Confirmation 1057352 Floor Related Permit# Suite Application ID 946118 Contact Information Contact Name Tony Balaoro Contractor REGAL ROOFING/CONTRACTING LLC Phone Number (206) 784-2689 Property Owner William K Stapleton LNI License# REGALRL897ML Address 16622 72ND AVE W EDMONDS, WA Phone# (206) 784-2689 City Bus. License # 603124544 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Re -Roof Replacement - Roofing Only) Residence project involving ( The height of the building is not increasing.) Conditions - Post Permit on site. Do not cover until inspected. Do not start any work until the preconstruction meeting is completed. 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. Applicant: Tony Balaoro Page 1 of 2 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI n9n91_nAQ1 Issued Date 4/7/2021 Job Address 16622 72ND AVE W Expiration Date 4/7/2022 Fee Paid $150.90 EDMONDS, 98026 Order Confirmation 1057352 Floor Related Permit# Suite Application ID 946118 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Tear Off or Sheathing Building Final Inspection Scheduling (425) 771-0220 or www.MyBuildingPermit.com ❑�❑� r Subject to any and all conditions as listed on Page 1 of this document. Re -inspection fees may apply if work is not ready for a requested inspection. �■ Follow the jurisdiction's construction hours and noise restrictions. Page 2 of 2