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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI ngng1 _nF;RA Issued Date
5/17/2021
Expiration Date
11/13/2021
Job Address
518 4TH AVE S Fee Paid
$150.90
EDMONDS, 98020 Order Confirmation
1065562
Floor
Related Permit#
Suite
Application ID
964459
Contact Information
Contact Name
Don Booth Contractor
DB HOME SERVICE LLC
Phone Number
(206)795-5328
Property Owner
Diane H Grignon LNI License#
DBHOMHS924B3
Address
518 4TH AVE S EDMONDS, WA Phone#
(206)795-5328
City Bus. License #
BL-010775
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: Don Booth
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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n91_nRRA
Issued Date
5/17/2021
Job Address
518 4TH AVE S
Expiration Date
11/13/2021
Fee Paid
$150.90
EDMONDS, 98020
Order Confirmation
1065562
Floor
Related Permit#
Suite
Application ID
964459
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Tear Off or Sheathing
Building Final
Inspection Scheduling
(425) 771-0220 or www.MyBuildingPermit.com
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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.
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Follow the jurisdiction's construction hours and noise restrictions.
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