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Permit_1123684CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngngq_naFF Issued Date 4/12/2022 Expiration Date 10/9/2022 Job Address 7612 194TH ST SW Fee Paid $146.50 EDMONDS, 98026 Order Confirmation 1136073 Floor Related Permit# Suite Application ID 1123684 Contact Information Contact Name Odilio MATA-CAMBRONERO Contractor CR MASTER ROOFING Phone Number (206) 779-3596Ext (206) 779-3596 Property Owner John P &Amy Jo Mckillop LNI License# CRMASMR811 KM Address 7612 194TH ST SW EDMONDS, WA Phone# (206) 779-3596 City Bus. License # 602718421 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Re -Roof Replacement - Roofing & Sheathing) 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: Odilio MATA-CAMBRONERO Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngngq-nARA Issued Date 4/12/2022 Expiration Date 10/9/2022 Job Address 7612 194TH ST SW Fee Paid $146.50 EDMONDS, 98026 Order Confirmation 1136073 Floor Related Permit# Suite Application ID 1123684 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. Page 2 of 2