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Application_2021-1047CITY OF EDMONDS MyBuildingPermit.com Building Application #997892 Applicant First Name Last Name Company Name Bulmaro Urbizo Urbizo Bros Roofing LLC Number Street Apartment or Suite Number E-mail Address 12515 Evergreen Dr maros@urbizoroofing.com City State Zip Phone Number Extension Mukilteo WA 98275-5711 (425)478-1250 Contractor Company Name Urbizo Bros Roofing LLC Number Street Apartment or Suite Number 12515 Evergreen Drive City State Zip Phone Number Extension Mukilteo WA 98275-5711 4254781250 State License Number License Expiration Date UBI # E-mail Address URBIZBR957J8 5/18/2023 FD94Rg4D7 maros@urbizoroofing.com Project Location Number Street Floor Number Suite or Room Number 7404 BRAEMAR DR City Zip Code County Parcel Number EDMONDS 98026 00513500001600 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 Maria Letty Krassner Number Street Apartment or Suite Number 7404 Braemar Drive City State Zip Edmonds WA 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: 7/28/2021 Submitted By: Bulmaro Urbizo Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #997892 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