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Application_1077826CITY OF EDMONDS MyBuildingPermit.com Building Application #1077826 Applicant First Name Last Name Company Name Greg Reiswig Anderson Roofing, Inc. Number Street Apartment or Suite Number E-mail Address 200 NE JUNIPER ST 100 melody@andersonroof.com City State Zip Phone Number Extension Issaquah WA 98027 (425) 222-6569 Contractor Company Name ANDERSON ROOFING INC Number Street Apartment or Suite Number 200 NE JUNIPER ST 100 City State Zip Phone Number Extension Issaquah WA 98027 (425) 222-6569 State License Number License Expiration Date UBI # E-mail Address ANDERRIO55DA 3/1/2023 FD1 isDFD54 melody@andersonroof.com Project Location Number Street Floor Number Suite or Room Number 18999 80TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00451200000103 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 NYAPARA PROPERTIES LLC Number Street Apartment or Suite Number 430 VIEW RIDGE DR City State Zip EVERETT WA 98203 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: 1/18/2022 Submitted By: Greg Reiswig Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1077826 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