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Application_1315790CITY OF EDMONDS MyBuildingPermit.com Building Application #1315790 Applicant First Name Last Name Company Name Nick Bagoshvili NGB ROOFING LLC Number Street Apartment or Suite Number E-mail Address 19215 80th PL W Nick@ngbroofing.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 883-6232 Contractor Company Name NGB ROOFING LLC Number Street Apartment or Suite Number 19215 80TH PL W City State Zip Phone Number Extension EDMONDS WA 98026 (206)883-6232 State License Number License Expiration Date UBI # E-mail Address NGBRORL773JP 4/17/2025 BD41 ARg4R Nick@ngbroofing.com Project Location Number Street Floor Number Suite or Room Number 19215 80TH PL W City Zip Code County Parcel Number EDMONDS 98026 00572700001300 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 Giorgi & Javakhishvili Irma A Bagoshvili Number Street Apartment or Suite Number 19215 80TH PL W City State Zip EDMONDS WA 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: 5/15/2023 Submitted By: Nick Bagoshvili Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1315790 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