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Application_1286295CITY OF EDMONDS MyBuildingPermit.com Building Application #1286295 Applicant First Name Last Name Eliseo Carrillo Company Name Allied Roofing Installation Services LLC Number Street 190 S 312th St. Apartment or Suite Number E-mail Address office@alliedrgcllc.com City State Zip Federal Way WA 98003-4079 Phone Number Extension (253) 277-7822 Contractor Company Name ALLIED ROOFING INSTLTN SRVCS Number Street 190 S 312TH ST Apartment or Suite Number City State Zip FEDERAL WAY WA 98003 Phone Number Extension 2532612747 2532777822 State License Number License Expiration Date ALLIER181OPP 10/17/2023 UBI # E-mail Address BD4597B89 office@alliedrgcllc.com Project Location Number Street 9102 242ND ST SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00463302800301 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 August V & Timpe Lauren E Byzinker Number Street 9102 242ND ST SW 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: 3/21/2023 Submitted By: Eliseo Carrillo Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1286295 Project Type Single Family Residential Project Details Increasing Building Height? Activity Type Scope of Work Re -Roof Replacement - Roofing Only Residence The height of the building is not increasing. Page 2 of 2