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Application_1321964CITY OF EDMONDS MyBuildingPermit.com Building Application #1321964 Applicant First Name Last Name Company Name Josh Tentoea Klim Roofing Inc. Number Street Apartment or Suite Number E-mail Address 21828 87th ave se D josh@klimroofing.com City State Zip Phone Number Extension Woodinville WA 98072 (425) 485-5546 Contractor Company Name KLIM ROOFING AND CONST INC Number Street Apartment or Suite Number 21828 87th Ave SE Unit D City State Zip Phone Number Extension Woodinville WA 98072 (425)485-5546 (425)485-5546 State License Number License Expiration Date UBI # E-mail Address KLIMRRC897131 2/20/2025 RDiD55g51 josh@klimroofing.com Project Location Number Street Floor Number Suite or Room Number 19400 82ND PL W City Zip Code County Parcel Number EDMONDS 98026 00634900000800 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 LA GRACIA TWO LLC Number Street Apartment or Suite Number 17500 17TH AVE W City State Zip LYN N WOOD WA 98037 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: 5/24/2023 Submitted By: Josh Tentoea Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1321964 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. Page 2 of 2