Application_1164771CITY OF EDMONDS MyBuildingPermit.com
Building Application #1164771
Applicant
First Name Last Name Company Name
Hary Gifford Gifford Industries Inc
Number Street Apartment or Suite Number E-mail Address
190 W. Dayton St. Suite 101 giffordindustries@hotmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 (425) 771-5200
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
9528 220TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 00544200100100
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
Janice R Gifford
Number Street Apartment or Suite Number
770 NORTHSTREAM LN
City State Zip
EDMONDS WA 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: 6/27/2022 Submitted By: Hary Gifford
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1164771
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.
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