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Permit_1277932CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI n7n7'i_n7Rn Issued Date 3/5/2023 Expiration Date 9/1 /2023 Job Address 22409 95TH PL W Fee Paid $177.50 EDMONDS, 98020 Order Confirmation 1207391 Floor Related Permit# Suite Application ID 1277932 Contact Information Contact Name Jacob Smith Contractor VALENTINE ROOFING INC Phone Number (206) 575-7807 Property Owner Kimberly L Partridge LNI License# VALENRI927J8 Address 22409 95TH PL W EDMONDS, WA Phone# (206) 575-7807 City Bus. License# VALENRI927J8 Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Re -Roof Replacement - Roofing & Sheathing) Residence 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: Jacob Smith Page 1 of 2 t °F EDAf 0 1 S93 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI n9n9*i_(19Rn Issued Date 3/5/2023 Expiration Date 9/1/2023 Job Address 22409 95TH PL W Fee Paid $177.50 EDMONDS, 98020 Order Confirmation 1207391 Floor Related Permit# Suite Application ID 1277932 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