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Application_1148031CITY OF EDMONDS MyBuildingPermit.com Building Application #1148031 Applicant First Name Last Name Kristy Hoff Company Name Cornerstone Roofing, Inc. Number Street 17624 15th Ave SE Apartment or Suite Number E-mail Address #101A Kristy@cornerstoneroofing.com City State Zip Bothell WA 98012 Phone Number Extension (425) 485-0111 Contractor Company Name CORNERSTONE ROOFING INC Number Street 17624 15th Ave SE Apartment or Suite Number #101A City State Zip Bothell WA 98012 Phone Number Extension (425) 485-0111 State License Number License Expiration Date CORNER1011CM 3/8/2024 UBI # E-mail Address FB1 BR95B9 Kristy@cornerstoneroofing.com Project Location Number Street 9327 232ND ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27033600105600 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 Grace Beatrice Eileen & Bond Connor Hatt Number Street 9327 232ND ST SW Apartment or Suite Number City State EDMONDS WA Zip 98020 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: 5/24/2022 Submitted By: Kristy Hoff Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1148031 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