Application_1112436CITY OF EDMONDS MyBuildingPermit.com
Building Application #1112436
Applicant
First Name Last Name
Greg Reiswig
Company Name
Anderson Roofing, Inc.
Number Street
200 NE JUNIPER ST
Apartment or Suite Number E-mail Address
100 melody@andersonroof.com
City State Zip
Issaquah WA 98027
Phone Number Extension
(425) 222-6569
Contractor
Company Name
ANDERSON ROOFING INC
Number Street
200 NE JUNIPER ST
Apartment or Suite Number
100
City State Zip
Issaquah WA 98027
Phone Number Extension
(425) 222-6569
State License Number License Expiration Date
ANDERRIO55DA 3/1/2023
UBI # E-mail Address
FD1 BDFD54 melody@andersonroof.com
Project Location
Number Street
827 FIR ST
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00619400100600
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
Julie Rice & Jon Douglas Bergevin
Number Street
827 FIR ST
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020-3958
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: 3/23/2022 Submitted By: Greg Reiswig
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1112436
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.
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