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Application_BLD2023-0229CITY OF EDMONDS MyBuildingPermit.com Building Application #1272289 Applicant First Name Last Name Company Name Remik Rybienik Alfa Roofing Number Street Apartment or Suite Number E-mail Address 24226 77th Place West rybienik@alfaroofing.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 673-9020 Contractor Company Name Alfa Roofing Number Street Apartment or Suite Number 24226 77th Place West City State Zip Phone Number Extension Edmonds WA 98026 (425) 673-9020 State License Number License Expiration Date UBI # E-mail Address ALFAR**044KA 1/29/2024 RD17Df1957 rybienik@alfaroofing.com Project Location Number Street Floor Number Suite or Room Number 10406 226TH PL SW City Zip Code County Parcel Number EDMONDS 98020 00610400001900 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 Tyler G & Walla Megan J Chamberlin Number Street Apartment or Suite Number 10406 226TH PL SW City State Zip EDMONDS WA 98020 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: 2/22/2023 Submitted By: Remik Rybienik Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1272289 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