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BLD2022-0299_Application_3.9.2022_8.39.15_AM_2726456CITY OF EDMONDS MyBuildingPermit.com Building Application #1104621 - Brackett's Landing North Applicant First Name Last Name Company Name Michael Gazur Mono Rooftop Solutions Number Street Apartment or Suite Number E-mail Address 18906 13th PI S, Building 2 michael@monorooftop.com City State Zip Phone Number Extension Seatac WA 98148 (206)767-2025 Contractor Company Name Mono Rooftop Solutions Number Street Apartment or Suite Number 18906 13th PI. S. Building #2 City State Zip Phone Number Extension Seatac WA 98148 (206) 767-2025 State License Number License Expiration Date UBI # E-mail Address MONORRS955QH 11/16/2023 BD9_c,_ri4i9 michael@monorooftop.com Project Location Number Street Floor Number Suite or Room Number 104 RAILROAD AVE N 1 Bathroom City Zip Code County Parcel Number EDMONDS 98020 27032300102800 Associated Building Permit Number Tenant Name City of Edmonds Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name EDMONDS CITY OF Number Street Apartment or Suite Number 250 5TH AVE N City State Zip EDMONDS WA 98020-3146 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: 3/9/2022 Submitted By: Michael Gazur Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1104621 - Brackett's Landing North Project Contact Company Name: Mono Rooftop Solutions Name: Michael Gazur Email: michael@monorooftop.com Address: 18906 13th PI S, Building 2 Phone #: (206)767-2025 Seatac WA 98148 Project Type Activity Type Nonresidential Re -Roof Replacement - Roofing & Sheathing Project Name: Brackett's Landing North Description of Roof Replacement, removal of existing shake roofing, prep skip sheathing subdeck for Work: resheet, replace vents with new metal, ensure fans are plumbed to outside vents if applicable, installation of "D" ring anchors. Project Details Structure Type Other Structure Increasing Building Height? The height of the building is not increasing. Primary Use Other Page 2 of 2