Application_1012335CITY OF EDMONDS MyBuildingPermit.com
Building Application #1012335
Applicant
First Name Last Name
Remik Rybienik
Company Name
Alfa Roofing
Number Street
24226 77th Place West
Apartment or Suite Number E-mail Address
rybienik@alfaroofing.com
City State Zip
Edmonds WA 98026
Phone Number Extension
(425) 750-0839
Contractor
Company Name
Alfa Roofing
Number Street
24226 77th Place West
Apartment or Suite Number
City State Zip
Edmonds WA 98026
Phone Number Extension
(425) 673-9020
State License Number License Expiration Date
ALFAR**044KA 1/29/2022
UBI # E-mail Address
RD17Df1957 rybienik@alfaroofing.com
Project Location
Number Street
8615 188TH ST SW
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00434600001505
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
Dina Clagg
Number Street
16217 39TH AVE NE
Apartment or Suite Number
City State
LAKE FOREST PARK WA
Zip
98155
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: 8/29/2021 Submitted By: Remik Rybienik
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1012335
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.
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