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Permit_BLD2022-1711CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI f17f177_1711 Issued Date 12/15/2022 Expiration Date 6/13/2023 Job Address 23222 92ND AVE W Fee Paid $146.50 EDMONDS, 98020 Order Confirmation 1192062 Floor Related Permit# Suite Application ID 1243106 Contact Information Contact Name Olivia Loreth Contractor State Roofing Inc Phone Number 360-794-7164EXt 360-990-2220 LNILicense# STATER1101JW Property Owner Michael Clyde &Sharon Sutter Address 23222 92ND AVE W 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 & Sheathing) Garage Detached 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: Olivia Loreth Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI n9n99_1711 Issued Date 12/15/2022 Expiration Date 6/13/2023 Job Address 23222 92ND AVE W Fee Paid $146.50 EDMONDS, 98020 Order Confirmation 1192062 Floor Related Permit# Suite Application ID 1243106 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