Application_1319879CITY OF EDMONDS MyBuildingPermit.com
Building Application #1319879
Applicant
First Name Last Name
Mike Shaw
Company Name
Number Street
16123 North Meadowdale Road
Apartment or Suite Number E-mail Address
mikeshaw.012@gmail.com
City State Zip
Edmonds WA 98026
Phone Number Extension
(425) 681-7683
Contractor
Company Name
ROCK ROOFING INC
Number Street
17210 Bothell Way N.E.
Apartment or Suite Number
City State Zip
Bothell WA 98011
Phone Number Extension
(425) 508-4362
State License Number License Expiration Date
ROCKRI*982RQ 1 /6/2025
UBI # E-mail Address
FD99_SfIBDD mikeshaw.012@gmail.com
Project Location
Number Street
16123 MEADOWDALE RD
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00513300005003
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
Mike Shaw
Number Street
16123 North Meadowdale Road
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: 5/22/2023 Submitted By: Mike Shaw
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1319879
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.
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