Application_1123684CITY OF EDMONDS MyBuildingPermit.com
Building Application #1123684
Applicant
First Name Last Name Company Name
Odilio MATA-CAMBRONERO CR Master Roofing
Number Street Apartment or Suite Number E-mail Address
9792 Edmonds Way 246 Mati0629@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 2064469297
Contractor
Company Name
CR MASTER ROOFING
Number Street Apartment or Suite Number
23307 97th Ave W
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 779-3596 (206) 779-3596
State License Number License Expiration Date UBI # E-mail Address
CRMASMR811 KM 5/15/2023 BD971 R49 1 Mati0629@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
7612 194TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00558900001800
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
John P & Amy Jo Mckillop
Number Street Apartment or Suite Number
7612 194TH ST SW
City State Zip
EDMONDS WA 98026-6238
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: 4/12/2022 Submitted By: Odilio MATA-CAMBRONERO
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1123684
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.
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