BLD2022-0418_Application_3.31.2022_1.14.41_PM_2774017CITY OF EDMONDS MyBuildingPermit.com
Building Application #1117167 - Emerald Place
Applicant
First Name Last Name
Kelly Stergo
Company Name
K S R
Number Street
40 Lake Bellevue Dr
Apartment or Suite Number E-mail Address
100 ksrroofingseattle@gmail.com
City State Zip
Bellevue WA 98005
Phone Number Extension
(425)931-8600
Contractor
Company Name
K S R
Number Street
40 Lake Bellevue Drive
Apartment or Suite Number
Suite 100
City State Zip
BELLEVUE WA 98005
Phone Number Extension
(425)931-8600
State License Number License Expiration Date
KSR**SR940NU 3/18/2023
UBI # E-mail Address
FD1 q57144 ksrroofingseattle@gmail.com
Project Location
Number Street
400 WALNUT ST
Floor Number Suite or Room Number
R R
City Zip Code
EDMONDS 98020
County Parcel Number
00918200010100
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
Carolyn J Holtz
Number Street
400 W WALNUT
Apartment or Suite Number
101
City State
EDMONDS WA
Zip
98020
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: 3/31/2022 Submitted By: Kelly Stergo
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1117167 - Emerald Place
Project Contact
Company Name: K S R
Name: Kelly Stergo Email: ksrroofingseattle@gmail.com
Address: 40 Lake Bellevue Dr 100 Phone #: (425)931-8600
Bellevue WA 98005
Project Type
Multifamily Residential
Activity Type
Re -Roof Replacement - Roofing Only
Project Name: Emerald Place
Description of Work: Removal and replacement of damaged composition.
Project Details
Structure Type
Multifamily Building
Increasing Building Height?
The height of the building is not increasing.
Primary Use
Residential Condos
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