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BLD2023-0169_Application_2.9.2023_2.29.38_PM_3361779CITY OF EDMONDS MyBuildingPermit.com Building Application #1266929 - Chalet Royale South Roof Tear Off Applicant First Name Last Name David Simms Company Name ALL PLY Roofing LLC Number Street PO BOX 12142 Apartment or Suite Number E-mail Address allplyroofingllc@gmail.com City State Zip Everett WA 98206 Phone Number Extension (425) 736-0308 Contractor Company Name ALL PLY ROOFING LLC Number Street PO BOX 12142 Apartment or Suite Number City State Zip Everett WA 98206 Phone Number Extension (425) 736-0308 State License Number License Expiration Date ALLPLPR8001_2 7/11/2024 UBI # E-mail Address BD461 qBB.,i allplyroofingllc@gmail.com Project Location Number Street 20832 76TH AVE W Floor Number Suite or Room Number 2 10-20 City Zip Code EDMONDS 98026 County Parcel Number 00614300001301 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 Jerrold Warshal Number Street 1521 2ND AVE Apartment or Suite Number 3303 City State SEATTLE WA Zip 98101 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 2/9/2023 Submitted By: David Simms Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1266929 - Chalet Royale South Roof Tear Off Project Contact Company Name: ALL PLY Roofing LLC Name: David Simms Email: allplyroofingIlc@gmail.com Address: PO BOX 12142 Phone #: (425) 736-0308 Everett WA 98206 Project Type Activity Type Multifamily Residential Re -Roof Replacement - Roofing & Sheathing Project Name: Chalet Royale South Roof Tear Off Description of Work: Tear off existing TPO roof down to Plywood and check for bad plywood and install Malarkey Base sheet and install Polyglass G White. Project Details Structure Type Multifamily Building Increasing Building Height? The height of the building is not increasing. Primary Use Other Page 2 of 2