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Permit_1214405CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI f17f177_1RRA Issued Date 10/11/2022 Expiration Date 4/9/2023 Job Address 126 HIGHLAND DR Fee Paid $146.50 EDMONDS, 98020 Order Confirmation 1178752 Floor Related Permit# Suite Application ID 1214405 Contact Information Contact Name Paul Nelson Contractor State Roofing Inc Phone Number 360-794-7164EXt 360-794-7164 L NILicense# STATER1101JW Property Owner Eric Emme Address 126 HIGHLAND DR EDMONDS, WA Phone# 360-794-7164 City Bus. License # 600326753 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: Paul Nelson Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI n9n99_1 Issued Date 10/11/2022 Expiration Date 4/9/2023 Job Address 126 HIGHLAND DR Fee Paid $146.50 EDMONDS, 98020 Order Confirmation 1178752 Floor Related Permit# Suite Application ID 1214405 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. Page 2 of 2