Permit_2021-1312CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9ing1 _'I i17 Issued Date
9/24/2021
Expiration Date
3/23/2022
Job Address
7107 177TH ST SW Fee Paid
$150.90
EDMONDS, 98026 Order Confirmation
1092975
Floor
Related Permit#
Suite
Application ID
1024832
Contact Information
Contact Name
Ann Dvorak Contractor
VALENTINE ROOFING INC
Phone Number
2065757656
LNI License#
VALENRI927J8
Property Owner
Holly G Hudson
Address
7107 177TH ST SW EDMONDS, WA Phone#
2065757656
City Bus. License#
VALENRI927J8
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Re -Roof Replacement - Roofing & Sheathing) Residence project involving ( The height of
the building is not increasing.)
Conditions - Post Permit on site. Do not cover until inspected.
Do not start any work until the preconstruction meeting is completed.
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.
Applicant: Ann Dvorak
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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9ng1-vilq
Issued Date
9/24/2021
Job Address
7107 177TH ST SW
Expiration Date
3/23/2022
Fee Paid
$150.90
EDMONDS, 98026
Order Confirmation
1092975
Floor
Related Permit#
Suite
Application ID
1024832
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Tear Off or Sheathing
Building Final
Inspection Scheduling
(425) 771-0220 or www.MyBuildingPermit.com
❑�❑�
r
Subject to any and all conditions as listed on Page 1 of this document.
Re -inspection fees may apply if work is not ready for a requested inspection.
�■
Follow the jurisdiction's construction hours and noise restrictions.
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