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Application_2021-1173CITY OF EDMONDS MyBuildingPermit.com Building Application #1010041 Applicant First Name Last Name Camilo Zambrano Company Name Edca Inc Number Street 1561 127th Place NE Apartment or Suite Number E-mail Address camilo@edcaroofing.com City State Zip Bellevue WA 98005 Phone Number Extension (206) 762-7294 Contractor Company Name Edca Inc Number Street 1561 127th Place NE Apartment or Suite Number City State Zip Bellevue WA 98005 Phone Number Extension (206) 762-7294 State License Number License Expiration Date edcai**126rt 1 /6/2023 UBI # E-mail Address FD 1 1'1964s camilo@edcaroofing.com Project Location Number Street 7730 206TH ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00595800002200 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 Nancy Millione Number Street 7730 206TH ST SW Apartment or Suite Number City State EDMONDS WA Zip 98026-6861 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: 8/24/2021 Submitted By: Camilo Zambrano Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1010041 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