Application_2021-0767CITY OF EDMONDS MyBuildingPermit.com
Building Application #973288
Applicant
First Name Last Name Company Name
Asia Davis
Number Street Apartment or Suite Number E-mail Address
7706 194th St SW asiakenyondavis@gmail.com
City State Zip Phone Number Extension
edmonds WA 98026 4255635056
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
7706 194TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00558900002000
Associated Building Permit Number Tenant Name
1234
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Asia K & Christine M Davis
Number Street Apartment or Suite Number
7706 194TH ST SW
City State Zip
EDMONDS WA 98026-6240
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: 6/6/2021 Submitted By: Asia Davis
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Building Application #973288
Project Type
Single Family Residential
Project Details
Increasing Building Height?
Activity Type Scope of Work
Re -Roof Replacement - Roofing & Sheathing Residence
The height of the building is not increasing.
Page 2 of 2