Application_BLD2022-1167CITY OF EDMONDS MyBuildingPermit.com
Building Application #1196302
Applicant
First Name Last Name
Brandon Foster
Company Name
Achten's Quality Roofing
Number Street
410 112th st s
Apartment or Suite Number E-mail Address
brandon@achtensroofing.com
City State Zip
Tacoma WA 98444
Phone Number Extension
(253) 254-4835
Contractor
Company Name
ACHTEN'S QUALITY RFNG CON INC
Number Street
410 112th st S
Apartment or Suite Number
City State Zip
tacoma WA 98444
Phone Number Extension
(253) 254-4835
State License Number License Expiration Date
ACHTEQR923CM 2/16/2024
UBI # E-mail Address
FD96444DD brandon@achtensroofing.com
Project Location
Number Street
19826 77TH PL W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00564000000900
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
John & Elizabeth Holmes
Number Street
19826 77TH PL W
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: 9/1/2022 Submitted By: Brandon Foster
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1196302
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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