Application_2021-0770CITY OF EDMONDS MyBuildingPermit.com
Building Application #973478
Applicant
First Name Last Name
Blake W Atwell
Company Name
Loberg Roofing.com, Inc.
Number Street
5800 188th St SW Ste A
Apartment or Suite Number E-mail Address
blake@lobergroofing.com
City State Zip
Lynnwood WA 98037
Phone Number Extension
(425) 2322419
Contractor
Company Name
LOBERG ROOFING.COM.INC
Number Street
5800 188th St SW Ste A
Apartment or Suite Number
City State Zip
Lynnwood WA 98037
Phone Number Extension
(425) 775-2276 4252322419
State License Number License Expiration Date
LOBERR*972K8 6/5/2023
UBI # E-mail Address
RD998g1 1 R blake@lobergroofing.com
Project Location
Number Street
9210 SIERRA ST
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00572800000900
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
Mack H Dubose
Number Street
9210 SIERRA ST
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020
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: 6/7/2021 Submitted By: Blake W Atwell
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #973478
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.
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