Permit_1115130CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI ngngq_n�An Issued Date
3/28/2022
Expiration Date
9/24/2022
Job Address
1523 10TH PL N Fee Paid
$146.50
EDMONDS, 98020 Order Confirmation
1132290
Floor
Related Permit#
Suite
Application ID
1115130
Contact Information
Contact Name
Kristy Hoff Contractor
CORNERSTONE ROOFING INC
Phone Number
(425) 485-0111
Property Owner
Benjamin C Bolotin LNI License#
CORNER1011 CM
Address
1523 10TH PL N EDMONDS, WA Phone#
(425) 485-0111
City Bus. License #
N R-026244
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Re -Roof Replacement - Roofing Only) Residence project involving ( The height of the
building is not increasing.)
Conditions - Post Permit on site. Do not cover until inspected.
Do not start any work until the preconstruction meeting is completed.
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.
Applicant: Kristy Hoff
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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n99-morn
Issued Date
3/28/2022
Expiration Date
9/24/2022
Job Address
1523 10TH PL N
Fee Paid
$146.50
EDMONDS, 98020
Order Confirmation
1132290
Floor
Related Permit#
Suite
Application ID
1115130
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Tear Off or Sheathing
Building Final
Inspection Scheduling
Go to: www.MyBuildingPermit.com or call (425) 771-0220.
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