Permit_1300189CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f17'i_nARn Issued Date
4/17/2023
Expiration Date
10/14/2023
Job Address
23420 NUMBER LN Fee Paid
$177.50
EDMONDS, 98020 Order Confirmation
1217066
Floor
Related Permit#
Suite
Application ID
1300189
Contact Information
Contact Name
Jose Morales
Contractor
Superior Line Roofing
Phone Number
(425)268-6720
Property Owner
Gary R Johnson LNI License#
SUPERLR857JO
Address
23420 NUMBER LN EDMONDS, WA Phone#
(425)268-6720
City Bus. License #
N R-026408
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Re -Roof Replacement - Roofing & Sheathing) Accessory Building 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: Jose Morales
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1893
CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9*i_(1dRn
Issued Date
4/17/2023
Expiration Date
10/14/2023
Job Address
23420 NUMBER LN
Fee Paid
$177.50
EDMONDS, 98020
Order Confirmation
1217066
Floor
Related Permit#
Suite
Application ID
1300189
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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