BLD2022-0510_Application_4.25.2022_8.29.02_AM_2823711CITY OF EDMONDS MyBuildingPermit.com
Building Application #1130566 - N Seattle Grace Church
Applicant
First Name Last Name Company Name
Dustin Kathol 3-D Roof Systems LLC
Number Street Apartment or Suite Number E-mail Address
PO BOX 330 dustin@3-droofsystems.com
City State Zip Phone Number Extension
Lynnwood WA 98046 (425)775-0232
Contractor
Company Name
3-D ROOF SYSTEMS LLC
Number Street Apartment or Suite Number
7228 210th st sw 330
City State Zip Phone Number Extension
lynnwood wa 98046 425 775-0232 425-672-2623
State License Number License Expiration Date UBI # E-mail Address
3DROOSL982CJ 2/27/2024 BDg1Rf1697 dustin@3-droofsystems.com
Project Location
Number Street Floor Number Suite or Room Number
22727 HIGHWAY 99 Roof none
City Zip Code County Parcel Number
EDMONDS 98026 27043000404400
Associated Building Permit Number Tenant Name
N Seattle Grace Church
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
CHINESE GRACE EVANGELICAL FREE CHURCH
Number Street Apartment or Suite Number
15306 57TH PL W
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. 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: 4/25/2022 Submitted By: Dustin Kathol
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1130566 - N Seattle Grace Church
Project Contact
Company Name: 3-D Roof Systems LLC
Name: Dustin Kathol Email: dustin@3-droofsystems.com
Address: PO BOX 330 Phone #: (425)775-0232
Lynnwood WA 98046
Project Type Activity Type
Nonresidential Re -Roof Replacement - Roofing Only
Project Name: N Seattle Grace Church
Description of Work: Remove existing metal roof at mansard(s), remove existing torch down roof at mansard
gutter and replace with PVC. Install new Shingles.
Project Details
Structure Type
Non Residential Building
Increasing Building Height?
The height of the building is not increasing.
Primary Use
Other
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