Application_BLD2023-0585CITY OF EDMONDS MyBuildingPermit.com
Building Application #1315291
Applicant
First Name
Aza
Last Name Company Name
Cline Mountain GoatRoofing
Number Street
0278
Apartment or Suite Number E-mail Address
mgroofs@yahoo.com
City State
Lynnwood WA
Zip Phone Number Extension
98046-0278 (206) 841-1645
Contractor
Company Name
Mountain Goat Roofing
Number Street
0278
Apartment or Suite Number
City
Lynnwood
State Zip Phone Number Extension
WA 98046-0278 (206) 625-0190
State License Number
MOUNTGR025D7
License Expiration Date UBI # E-mail Address
6/25/2024 FD1774667 mgroofs@yahoo.com
Project Location
Number Street
18303 76TH AVE W
Floor Number Suite or Room Number
City
EDMONDS
Zip Code County Parcel Number
98026 00370800300601
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
Bruce P
Last Name or Company Name
Gothard
Number Street
18303 76TH AVE W
Apartment or Suite Number
City
EDMONDS
State Zip
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: 5/13/2023 Submitted By: Aza Cline
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1315291
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.
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