Permit_1286668CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI I17f17-(1��� Issued Date
3/21/2023
Expiration Date
9/17/2023
Job Address
20603 86TH PL W Fee Paid
$177.50
EDMONDS, 98026 Order Confirmation
1211217
Floor
Related Permit#
Suite
Application ID
1286668
Contact Information
Contact Name
Alex Urbizo
Contractor
Urbizo Bros Roofing LLC
Phone Number
425-478-1250
LNI License#
URBIZBR957J8
Property Owner
Mark B Blinstrub
Address
20603 86TH PL W EDMONDS, WA Phone#
425-478-1250
City Bus. License #
602489407
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Re -Roof Replacement - Roofing Only) 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: Mark Blinstrub
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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9*i_n*i-r;9
Issued Date
3/21/2023
Expiration Date
9/17/2023
Job Address
20603 86TH PL W
Fee Paid
$177.50
EDMONDS, 98026
Order Confirmation
1211217
Floor
Related Permit#
Suite
Application ID
1286668
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.
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