Application_1214405CITY OF EDMONDS MyBuildingPermit.com
Building Application #1214405
Applicant
First Name Last Name
Paul Nelson
Company Name
State Roofing Inc.
Number Street
431 N Kelsey St
Apartment or Suite Number E-mail Address
Paul@stateroofing.com
City State Zip
Monroe WA 98272
Phone Number Extension
(425) 508-0523 249
Contractor
Company Name
State Roofing Inc
Number Street
431 north kelsey
Apartment or Suite Number
PO BOX 53
City State Zip
Monroe WA 98272
Phone Number Extension
360-794-7164 360-794-7164
State License Number License Expiration Date
STATER1101JW 12/21/2023
UBI # E-mail Address
Fnm9F;75.'l Paul@stateroofing.com
Project Location
Number Street
126 HIGHLAND DR
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00423000004400
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
Eric Emme
Number Street
126 HIGHLAND DR
Apartment or Suite Number
City State
EDMONDS WA
Zip
98020-2951
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: 10/11/2022 Submitted By: Paul Nelson
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1214405
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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