Application_2022-0485CITY OF EDMONDS MyBuildingPermit.com
Building Application #1125906
Applicant
First Name Last Name Company Name
TAKUMI MIZUKOSHI
Number Street Apartment or Suite Number E-mail Address
9122 Olympic View Drive takumi.mizukoshi0400@gmail.com
City State Zip Phone Number Extension
EDMONDS WA 98026 2064919337
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
9122 OLYMPIC VIEW DR
City Zip Code County Parcel Number
EDMONDS 98026 27041800203800
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
Takumi Mizukoshi
Number Street Apartment or Suite Number
9122 OLYMPIC VIEW DR
City State Zip
EDMONDS WA 98026
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: 4/18/2022 Submitted By: TAKUMI MIZUKOSHI
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1125906
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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