Application_1015753CITY OF EDMONDS MyBuildingPermit.com
Building Application #1015753
Applicant
First Name
Cipriano
Last Name
Chavez
Company Name
Haider Remodeling & Roofing LLC
Number Street
5607 244th St SW
Apartment or Suite Number
E-mail Address
cipriano@haiderconstruction.com
City State
Mountlake Terrace WA
Zip
98043
Phone Number Extension
4255772729
Contractor
Company Name
Haider Construction
Number Street
5607 244th St SW
Apartment or Suite Number
City
Mountlake Terrace
State Zip
WA 98043
Phone Number Extension
4255772729
State License Number
HAIDEC*914DB
License Expiration Date UBI #
4/7/2023 BDggD:.174
E-mail Address
cipriano@haiderconstruction.com
Project Location
Number Street
23626 84TH AVE W
Floor Number Suite or Room Number
City
EDMONDS
Zip Code County Parcel Number
98026 00463300100101
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
*Ashley and Tim
Last Name or Company Name
Bischoff
Number Street
23626 84th Ave W
Apartment or Suite Number
City
EDMONDS
State Zip
WA 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: 9/7/2021 Submitted By: Cipriano Chavez
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Building Application #1015753
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