Application_1259149CITY OF EDMONDS MyBuildingPermit.com
Building Application #1259149
Applicant
First Name Last Name Company Name
Steven Kelly
Number Street Apartment or Suite Number E-mail Address
21926 83rd AVE W bettkaffer@yahoo.com
City State Zip Phone Number Extension
Edmonds WA 98026 (858) 663-8355
Contractor
Company Name
Owner
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
21926 83RD AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00541100000100
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
Steven Kelly
Number Street Apartment or Suite Number
21926 83rd Ave W
City State Zip
Edmonds Washington 98026
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: 1/25/2023 Submitted By: Steven Kelly
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1259149
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.
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