Application_1210308CITY OF EDMONDS MyBuildingPermit.com
Building Application #1210308
Applicant
First Name Last Name Company Name
Ana Bernal PNW ROOFING &CRAWL SPACE
Number Street Apartment or Suite Number E-mail Address
12522 8th Ave W Apt C105 Pnwroofinginsulation@gmail.com
City State Zip Phone Number Extension
Everett WA 98204 (425) 321-8078
Contractor
Company Name
PNW ROOFING & CRL SPC INS LLC
Number Street Apartment or Suite Number
PO BOX 14338
City State Zip Phone Number Extension
MILL CREEK WA 98082 4253218078
State License Number License Expiration Date UBI # E-mail Address
PNWRORC825D6 3/31/2024 Rn491gssq Pnwroofinginsulation@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
24130 FIRDALE AVE
City Zip Code County Parcel Number
EDMONDS 98020 27033600401600
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
Czarina A & Jesus L Francisco
Number Street Apartment or Suite Number
24130 FIRDALE AVE
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: 10/3/2022 Submitted By: Ana Bernal
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1210308
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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