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Application_1073784CITY OF EDMONDS MyBuildingPermit.com Building Application #1073784 Applicant First Name Last Name Spencer Addicott Company Name Addicott Roofing Number Street 18926 83rd Ave W Apartment or Suite Number E-mail Address spencer@addicottroofing.com City State Zip Edmonds WA 98026 Phone Number Extension (206)714-9553 Contractor Company Name addicott roofing inc Number Street 18926 83rd ave west Apartment or Suite Number City State Zip edmonds WA 98026 Phone Number Extension (425) 774-0806 State License Number License Expiration Date ADDICI*219JT 5/10/2022 UBI # E-mail Address FDD9A9gR7 spencer@addicottroofing.com Project Location Number Street 19619 88TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00549200000603 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 Carol J Lawson Number Street 19619 88TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 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: 1/7/2022 Submitted By: Spencer Addicott Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1073784 Project Type Single Family Residential Project Details Increasing Building Height? Activity Type Scope of Work Re -Roof Replacement - Roofing Only Residence The height of the building is not increasing. Page 2 of 2