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Permit_1143181CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngngq-nF�� Issued Date 5/16/2022 Expiration Date 11/12/2022 Job Address 23604 76TH PL W Fee Paid $146.50 EDMONDS, 98026 Order Confirmation 1145374 Floor Related Permit# Suite Application ID 1143181 Contact Information Contact Name Robert Salamone Contractor Tekline Roofing Phone Number 12062467663 Property Owner Virgil A &Yoko Slater LNI License# TEKLIR*850KQ Address 23604 76TH PL W EDMONDS, WA Phone# 12062467663 City Bus. License # Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Re -Roof Replacement - Roofing Only) 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: Robert Salamone Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI n9n99_nF*i� Issued Date 5/16/2022 Expiration Date 11 /12/2022 Job Address 23604 76TH PL W Fee Paid $146.50 EDMONDS, 98026 Order Confirmation 1145374 Floor Related Permit# Suite Application ID 1143181 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Tear Off or Sheathing Building Final Inspection Scheduling The issuance of this permit in no way constitutes approval from any other agencies having regulatory authority over the facility and this construction activity. It is the responsibility of the property owner to obtain any and all such required approvals. Page 2 of 2