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Application_951747CITY OF EDMONDS MyBuildingPermit.com Building Application #951747 Applicant First Name Last Name Company Name Kaela McKee Valentine Roofing Inc. Number Street Apartment or Suite Number E-mail Address 400 Industry Drive #120 kaela@valentineroof.com City State Zip Phone Number Extension Tukwila WA 98188 3605024519 Contractor Company Name VALENTINE ROOFING INC Number Street Apartment or Suite Number 910 Industry Drive City State Zip Phone Number Extension Tukwila WA 98188 3605024519 State License Number License Expiration Date UBI # E-mail Address VALENR1927J8 4/28/2022 RD9R1g179 kaela@valentineroof.com Project Location Number Street Floor Number Suite or Room Number 6424 170TH PL SW City Zip Code County Parcel Number EDMONDS 98026 00583500002000 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 Jerylyn Ann Cusimano Number Street Apartment or Suite Number 6424 170TH PL SW City State Zip EDMONDS WA 98026-5212 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: 4/20/2021 Submitted By: Kaela McKee Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #951747 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