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BLD2021-0506_Application_4.8.2021_2.06.23_PM_2135466CITY OF EDMONDS MyBuildingPermit.com Building Application #946888 - Normandy Park West Building Applicant First Name Last Name Company Name Jason Camacho Roofcorp of WA Inc Number Street Apartment or Suite Number E-mail Address 2130 South Dupont Drive jason@roofcorp.com City State Zip Phone Number Extension Anaheim CA 92806 (206)673-2637 Contractor Company Name ROOFCORP OF WASH INC Number Street Apartment or Suite Number 3425 S146TH City State Zip Phone Number Extension SEATTLE WA 98168 (206) 673-2637 State License Number License Expiration Date UBI # E-mail Address ROOFCWI007Q1 6/30/2021 rinn57.1.1.14 jason@roofcorp.com Project Location Number Street Floor Number Suite or Room Number 8121 236TH ST SW Roof West Building City Zip Code County Parcel Number EDMONDS 98026 00576700002700 Associated Building Permit Number Tenant Name Cindy Lien-Kessner Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name PARK EDMONDS APT LLC Number Street Apartment or Suite Number 1140 Parkside DR E City State Zip SEATTLE WA 98112 Certification Statement - The applicant states: I 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. I 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: 4/8/2021 Submitted By: Jason Camacho Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #946888 - Normandy Park West Building Project Contact Company Name: Roofcorp of WA Inc Name: Jason Camacho Email: jason@roofcorp.com Address: 2130 South Dupont Drive Phone #: (206)673-2637 Anaheim CA 92806 Project Type Activity Type Nonresidential Re -Roof Replacement - Roofing Only Project Name: Normandy Park West Building Description of Work: Reroof, Tear -Off. Replace old shingles system for new a one. 17,865 SF Project Details Structure Type Non Residential Building Increasing Building Height? The height of the building is increasing. Page 2 of 2