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Application_1139318CITY OF EDMONDS MyBuildingPermit.com Building Application #1139318 Applicant First Name Last Name Company Name Spencer Addicott Addicott Roofing Number Street Apartment or Suite Number E-mail Address 18926 83rd Ave W spencer@addicottroofing.com City State Zip Phone Number Extension Edmonds WA 98026 (206)714-9553 Contractor Company Name addicott roofing inc Number Street Apartment or Suite Number 18926 83rd ave west City State Zip Phone Number Extension edmonds WA 98026 (425) 774-0806 State License Number License Expiration Date UBI # E-mail Address ADDICI*219JT 5/10/2022 FDD9A9gR7 spencer@addicottroofing.com Project Location Number Street Floor Number Suite or Room Number 801 7TH AVE N City Zip Code County Parcel Number EDMONDS 98020 27032400203400 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 Allen J Hendricks Number Street Apartment or Suite Number 801 7TH AVE N City State Zip EDMONDS WA 98020-3055 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: 5/9/2022 Submitted By: Spencer Addicott Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1139318 Project Type Single Family Residential Project Details Increasing Building Height? Activity Type Scope of Work Re -Roof Replacement - Roofing Only Residence The height of the building is not increasing. Page 2 of 2