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BLD2021-1677_Application_12.13.2021_8.55.40_AM_2567778CITY OF EDMONDS MyBuildingPermit.com Building Application #1063313 - 6 unit apartment Applicant First Name Last Name Blake W Atwell Company Name Loberg Roofing.com, Inc. Number Street 5800 188th St SW Ste A Apartment or Suite Number E-mail Address blake@lobergroofing.com City State Zip Lynnwood WA 98037 Phone Number Extension (425) 775-2276 Contractor Company Name LOBERG ROOFING.COM.INC Number Street 5800 188th St SW Ste A Apartment or Suite Number City State Zip Lynnwood WA 98037 Phone Number Extension (425) 775-2276 4252322419 State License Number License Expiration Date LOBERR*972K8 6/5/2023 UBI # E-mail Address RD998g1 1 R blake@lobergroofing.com Project Location Number Street 420 DAYTON ST Floor Number Suite or Room Number 1,2 1 City Zip Code EDMONDS 98020 County Parcel Number 27032300407800 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 R Gregory Payne Number Street 8827 29TH AVE NW Apartment or Suite Number City State SEATTLE WA Zip 98117 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: 12/13/2021 Submitted By: Blake W Atwell Page 1 of 2 i CITY OF EDMONDS MyBuitdingPermit.com Building Application #1063313 - 6 unit apartment Project Contact Company Name: Loberg Roofing.com, Inc. Name: Blake W Atwell Email: blake@lobergroofing.com Address: 5800 188th St SW Ste A Phone #: (425) 775-2276 Lynnwood WA 98037 Project Type Multifamily Residential Activity Type Re -Roof Replacement - Roofing Only Project Name: 6 unit apartment Description of Work: Recover over existing torch down roofing with 60mil TPO membrane roofing Project Details Structure Type Multifamily Building Increasing Building Height? The height of the building is not increasing. Primary Use Other Page 2 of 2