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Application_BLD2023-0139CITY OF EDMONDS MyBuildingPermit.com Building Application #1263328 Applicant First Name Last Name Thomas Hughes Company Name Number Street 17627 69th PI W Apartment or Suite Number E-mail Address c48f@frontier.com City State Zip Edmonds WA 98026 Phone Number Extension (425) 772-6660 Contractor Company Name OASIS CONSTRUCTION GROUP INC Number Street 4701 SW ADMIRAL WAY Apartment or Suite Number 231 City State Zip SEATTLE WA 98116 Phone Number Extension 206-399-6256 206-399-6256 State License Number License Expiration Date OASISCG844DH 3/16/2024 UBI # E-mail Address RD954RD14 elliot@oasisconstruct.com Project Location Number Street 17627 69TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00513100015412 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 Thomas H & Marla A Hughes Number Street 17627 69TH PL W Apartment or Suite Number City State EDMONDS WA Zip 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: 2/2/2023 Submitted By: Thomas Hughes Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1263328 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. Page 2 of 2