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Application_1014363CITY OF EDMONDS MyBuildingPermit.com Building Application #1014363 Applicant First Name Tha Last Name Khun Company Name Tekline Roofing Number Street 635 Industry Dr. Apartment or Suite Number E-mail Address tha@teklineroofing.com City State Tukwila WA Zip 98188 Phone Number Extension (425)879-1694 Contractor Company Name Tekline Roofing Number Street 635 Industry Dr. Apartment or Suite Number City Tukwila State Zip WA 98188 Phone Number Extension 1(425)879-1694 State License Number TEKLIR*850KQ License Expiration Date 5/18/2023 UBI # E-mail Address RDmAf1587 tha@teklineroofing.com Project Location Number Street 716 ALDER ST Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00434209101100 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Gerald Last Name or Company Name Stiffler Number Street 716 ALDER ST Apartment or Suite Number City EDMONDS State WA Zip 98020 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: 9/2/2021 Submitted By: Tha Khun Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1014363 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