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Application_963551CITY OF EDMONDS MyBuildingPermit.com Building Application #963551 Applicant First Name Last Name Kristy Hoff Company Name Cornerstone Roofing, Inc. Number Street 17624 15th Ave SE Apartment or Suite Number E-mail Address #101A Kristy@cornerstoneroofing.com City State Zip Bothell WA 98012 Phone Number Extension 4254850111 Contractor Company Name CORNERSTONE ROOFING INC Number Street 17624 15th Ave SE Apartment or Suite Number #101A City State Zip Bothell WA 98012 Phone Number Extension (425) 485-0111 State License Number License Expiration Date CORNER1011CM 3/8/2022 UBI # E-mail Address FD1 BR95D9 Kristy@cornerstoneroofing.com Project Location Number Street 1441 10TH PL N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27031300409900 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 Paul & Mary Dever Number Street 1441 10TH PL N Apartment or Suite Number City State EDMONDS WA Zip 98020-2629 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: 5/14/2021 Submitted By: Kristy Hoff Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #963551 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