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BLD2021-1216_Application_9.1.2021_10.25.10_AM_2387407CITY OF EDMONDS MyBuildingPermit.com Building Application #1013810 - #6051 Edmonds Greenery Applicant First Name Last Name Tiana Cooper Company Name Four Seasons Roofing Number Street 17903 State Route 9 SE Apartment or Suite Number E-mail Address tiana@fourseasonsroof.com City State Zip SNOHOMISH WA 98296 Phone Number Extension (425)388-9906 Contractor Company Name FOUR SEASONS RFNG/RMDL SVS INC Number Street 16410 84th St NE Apartment or Suite Number #D513 City State Zip Lake Stevens WA 98258 Phone Number Extension 425-388-9906 State License Number License Expiration Date FOURSRS016QA 4/11/2022 UBI # E-mail Address FD1 q799q.'1 tiana@fourseasonsroof.com Project Location Number Street 8414 240TH ST SW Floor Number Suite or Room Number Roof B101 City Zip Code EDMONDS 98026 County Parcel Number 00700200210100 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 Peter F & Hendrickson Jessica Lane Number Street 8414 240TH ST SW Apartment or Suite Number B101 City State EDMONDS WA Zip 98026-9143 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 9/1/2021 Submitted By: Tiana Cooper Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1013810 - #6051 Edmonds Greenery Project Contact Company Name: Four Seasons Roofing Name: Tiana Cooper Email: tiana@fourseasonsroof.com Address: 17903 State Route 9 SE Phone #: (425)388-9906 SNOHOMISH WA 98296 Project Type Activity Type Multifamily Residential Re -Roof Replacement - Roofing & Sheathing Project Name: #6051 Edmonds Greenery Description of Work: Remove existing roofing down to sheathing, and replace with new, like material. Replace sheathing as necessary. Project Details Structure Type Multifamily Building Increasing Building Height? The height of the building is not increasing. Primary Use Residential Condos Page 2 of 2