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Application_1143181CITY OF EDMONDS MyBuildingPermit.com Building Application #1143181 Applicant First Name Robert Last Name Salamone Company Name Tekline Roofing Number Street 635 Industry Drive Apartment or Suite Number E-mail Address robert@teklineroofing.com City State Seattle WA Zip 98188 Phone Number Extension (206)246-7663 Contractor Company Name Tekline Roofing Number Street 635 industry Dr. Apartment or Suite Number City Seattle State Zip WA 98188 Phone Number Extension 12062467663 State License Number TEKLIR*850KQ License Expiration Date 5/18/2023 UBI # E-mail Address RDmAf1587 robert@teklineroofing.com Project Location Number Street 23604 76TH PL W Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00654000000700 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Virgil A & Yoko Last Name or Company Name Slater Number Street 23604 76TH PL W Apartment or Suite Number City EDMONDS State WA Zip 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: 5/16/2022 Submitted By: Robert Salamone Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1143181 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