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Application_998396CITY OF EDMONDS MyBuildingPermit.com Building Application #998396 Applicant First Name Last Name Spencer Addicott Company Name Addicott Roofing Number Street 18926 83rd Ave W Apartment or Suite Number E-mail Address spencer@addicottroofing.com City State Zip Edmonds WA 98026 Phone Number Extension (206)714-9553 Contractor Company Name addicott roofing inc Number Street 18926 83rd ave west Apartment or Suite Number City State Zip edmonds WA 98026 Phone Number Extension (425) 774-0806 2067149552 State License Number License Expiration Date ADDICI*219JT 5/10/2022 UBI # E-mail Address FDD9A9gB7 spencer@addicottroofing.com Project Location Number Street 8103 190TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00481600100802 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 Corrine B & Zachary T Stratton Number Street 8103 190TH ST SW 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: 7/29/2021 Submitted By: Spencer Addicott Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #998396 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