Application_972857CITY OF EDMONDS MyBuildingPermit.com
Building Application #972857
Applicant
First Name Last Name
Tiana Cooper
Company Name
Four Seasons Roofing
Number Street
17903 State Route 9 SE
Apartment or Suite Number E-mail Address
tiana@fourseasonsroof.com
City State Zip
SNOHOMISH WA 98296
Phone Number Extension
(425)388-9906
Contractor
Company Name
FOUR SEASONS RFNG/RMDL SVS INC
Number Street
16410 84th St NE
Apartment or Suite Number
#D513
City State Zip
Lake Stevens WA 98258
Phone Number Extension
425-388-9906
State License Number License Expiration Date
FOURSRS016QA 4/11/2022
UBI # E-mail Address
F61 q799q.'1 tiana@fourseasonsroof.com
Project Location
Number Street
21103 78TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00595600000200
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
Telvin C & Barbara C Slattum
Number Street
21103 78TH AVE W
Apartment or Suite Number
City State
EDMONDS WA
Zip
98026
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: 6/4/2021 Submitted By: Tiana Cooper
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Building Application #972857
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