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Permit_1160466CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI f17f177_n7RR Issued Date 6/16/2022 Expiration Date 12/13/2022 Job Address 1022 B AVE Fee Paid $146.50 EDMONDS, 98020 Order Confirmation 1152813 Floor Related Permit# Suite Application ID 1160466 Contact Information Contact Name Herald Fodge Contractor ALLIED CONSTRUCTION INC Phone Number (425) 869-7663 Property Owner Carl R Asklund LNILicense# ALLIEC1131CP Address 15906 S LAKESHORE RD CHELAN, Phone# (425) 869-7663 WA City Bus. License # N R-026820 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: Herald Fodge Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI n9n99_n7RF Issued Date 6/16/2022 Expiration Date 12/13/2022 Job Address 1022 B AVE Fee Paid $146.50 EDMONDS, 98020 Order Confirmation 1152813 Floor Related Permit# Suite Application ID 1160466 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