Application_BLD2022-1315CITY OF EDMONDS MyBuildingPermit.com
Building Application #1209572
Applicant
First Name Last Name Company Name
Mike Grinberg Palm Construction
Number Street Apartment or Suite Number E-mail Address
1819 Central Ave S Unit 128 Dorgrinberg@gmail.com
City State Zip Phone Number Extension
Kent WA 98032 (310) 744-5674
Contractor
Company Name
PALM CONSTRUCTION & RMDLNG INC
Number Street Apartment or Suite Number
1819 Central Ave S
City State Zip Phone Number Extension
KENT WA 98032 3107445675
State License Number License Expiration Date UBI # E-mail Address
PALMCCR806NE 8/3/2024 FD4R33D79 Dorgrinberg@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
1017 CAROL WAY
City Zip Code County Parcel Number
EDMONDS 98020 00592700000300
Associated Building Permit Number Tenant Name
no
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Linda L Probstfeld
Number Street Apartment or Suite Number
1017 CAROL WAY
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: 9/30/2022 Submitted By: Mike Grinberg
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Building Application #1209572
Project Type
Single Family Residential
Project Details
Increasing Building Height?
Activity Type Scope of Work
Re -Roof Replacement - Roofing & Sheathing Residence
The height of the building is not increasing.
Page 2 of 2