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Application_BLD2023-0709CITY OF EDMONDS MyBuildingPermit.com Building Application #1329551 Applicant First Name Last Name Mike Bieniek Company Name Krown homes Ilc Number Street 14331 124th ave ne Apartment or Suite Number E-mail Address c-37 Ilckrown@gmail.com City State Zip kirkland WA 98034 Phone Number Extension (206) 391-6767 Contractor Company Name Krown Homes LLC Number Street 14331 124th ave ne Apartment or Suite Number City State Zip KIRKLAND WA 98034 Phone Number Extension (206)391-6767 State License Number License Expiration Date KROWNHL817B9 1/30/2025 UBI # E-mail Address FD4,iRFDRD Ilckrown@gmail.com Project Location Number Street 19208 76TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27041800402500 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 David R Truax Number Street 19208 76TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 98026-6200 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: 6/7/2023 Submitted By: Mike Bieniek Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1329551 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