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Application_1156964CITY OF EDMONDS MyBuildingPermit.com Building Application #1156964 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 CORNER1011 CM 3/8/2024 UBI # E-mail Address F61 BR9569 Kristy@cornerstoneroofing.com Project Location Number Street 20125 MAPLEWOOD DR Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00698300000600 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 Jennifer Marie Wachter Number Street PO BOX 6126 Apartment or Suite Number City State EDMONDS 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: 6/10/2022 Submitted By: Kristy Hoff Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1156964 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