Permit_2021-0770t of EDAf
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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f171 _n77n Issued Date
6/7/2021
Expiration Date
12/4/2021
Job Address
9210SIERRA ST Fee Paid
$150.90
EDMONDS, 98020 Order Confirmation
1069679
Floor
Related Permit#
Suite
Application ID
973478
Contact Information
Contact Name
Blake W Atwell Contractor
LOBERG ROOFING.COM.INC
Phone Number
(425) 775-2276EXt 4252322419
Property Owner
Mack H Dubose LNI License#
LOBERR*972K8
Address
9210 SIERRA ST EDMONDS, WA Phone#
(425) 775-2276
City Bus. License #
N R-026887
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: Blake W Atwell
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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n91 _n77n
Issued Date
6/7/2021
Job Address
9210 SIERRA ST
Expiration Date
12/4/2021
Fee Paid
$150.90
EDMONDS, 98020
Order Confirmation
1069679
Floor
Related Permit#
Suite
Application ID
973478
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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