Permit_1164771CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n7n77_nR4R Issued Date
6/27/2022
Expiration Date
12/24/2022
Job Address
9528 220TH ST SW Fee Paid
$146.50
EDMONDS, 98020 Order Confirmation
1154814
Floor
Related Permit#
Suite
Application ID
1164771
Contact Information
Contact Name
Hary Gifford
Contractor
Owner
Phone Number
(425) 771-5200
Property Owner
LNI License #
Janice R Gifford
Address
770 NORTHSTREAM LN Phone#
EDMONDS, WA 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: Hary Gifford
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1893
CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n99_nR�F
Issued Date
6/27/2022
Expiration Date
12/24/2022
Job Address
9528 220TH ST SW
Fee Paid
$146.50
EDMONDS, 98020
Order Confirmation
1154814
Floor
Related Permit#
Suite
Application ID
1164771
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.
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