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Application_2021-0989CITY OF EDMONDS MyBuildingPermit.com Building Application #992186 Applicant First Name Last Name David Johnson Company Name Johnson Roofing & Gutters Number Street 2133 NW 204th St. Apartment or Suite Number E-mail Address dave@johnsonroof.com City State Zip Shoreline WA 98177 Phone Number Extension 2065426692 Contractor Company Name JOHNSON ROOFING & GUTTERS Number Street 2133 NW 204th St Apartment or Suite Number City State Zip Shoreline WA 98177 Phone Number Extension 206-542-6692 206-313-5973 State License Number License Expiration Date JOHNSRG160DA 7/5/2023 UBI # E-mail Address BDD51 9g5R dave@johnsonroof.com Project Location Number Street 7711 196TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00558900000200 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 Chin Yen & Hammond Steven S Chen Number Street 1028 BELL ST 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: 7/16/2021 Submitted By: David Johnson Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #992186 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