Application_2021-1484CITY OF EDMONDS MyBuildingPermit.com
Building Application #1042062
Applicant
First Name Last Name Company Name
Tiana Cooper Four Seasons Roofing
Number Street Apartment or Suite Number E-mail Address
17903 State Route 9 SE tiana@fourseasonsroof.com
City State Zip Phone Number Extension
SNOHOMISH WA 98296 (425)388-9906
Contractor
Company Name
FOUR SEASONS RFNG/RMDL SVS INC
Number Street Apartment or Suite Number
16410 84th St NE #D513
City State Zip Phone Number Extension
Lake Stevens WA 98258 425-388-9906
State License Number License Expiration Date UBI # E-mail Address
FOURSRS016QA 4/11/2022 FB1 q799q.'1 tiana@fourseasonsroof.com
Project Location
Number Street Floor Number Suite or Room Number
1024 BROOKMERE DR
City Zip Code County Parcel Number
EDMONDS 98020 00397600001402
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
Alan C & Blickenstaff Lindsey Blickenstaff
Number Street Apartment or Suite Number
1024 BROOKMERE DR
City State Zip
EDMONDS WA 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: 10/28/2021 Submitted By: Tiana Cooper
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1042062
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.
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