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Application_2021-0571CITY OF EDMONDS MyBuildingPermit.com Building Application #952532 Applicant First Name Last Name Cipriano Chavez Company Name Haider Remodeling & Roofing LLC Number Street 5607 244th St SW Apartment or Suite Number E-mail Address cipriano@haiderconstruction.com City State Zip Mountlake Terrace WA 98043 Phone Number Extension 4255772729 Contractor Company Name Haider Construction Number Street 5607 244th St. SW Apartment or Suite Number City State Zip Mountlake Terrace WA 98043 Phone Number Extension 4255772729 State License Number License Expiration Date HAIDEC*914DB 4/7/2023 UBI # E-mail Address BDggD:.174 ciprianochivas@gmail.com Project Location Number Street 1152 VIEWLAND WAY Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00548900001906 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 Christopher R & Warden Kara F Hemple Number Street 1152 VIEWLAND WAY Apartment or Suite Number City State EDMONDS WA Zip 98020-2590 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: 4/21/2021 Submitted By: Cipriano Chavez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #952532 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