Permit_BLD2023-0809CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f17'i_nAnQ Issued Date
6/29/2023
Expiration Date
12/26/2023
Job Address
721 3RD AVE S Fee Paid
$177.50
EDMONDS, 98020 Order Confirmation
1234884
Floor
Related Permit#
Suite
Application ID
1340433
Contact Information
Contact Name
Aza Cline
Contractor
Mountain Goat Roofing
Phone Number
(206) 625-0190
Property Owner
E Elizabeth Blackburn LNI License#
MOUNTGR025D7
Address
721 3RD AVE S EDMONDS, WA Phone#
(206) 625-0190
City Bus. License #
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Re -Roof Replacement - Roofing & Sheathing) Residence project involving ( The height of
the building is not increasing.)
Conditions - Post Permit on site. Do not cover until inspected.
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.
Applicant: Aza Cline
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1893
CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9*i_(1RnQ
Issued Date
6/29/2023
Expiration Date
12/26/2023
Job Address
721 3RD AVE S
Fee Paid
$177.50
EDMONDS, 98020
Order Confirmation
1234884
Floor
Related Permit#
Suite
Application ID
1340433
Inspections
Inspection IVR Inspector Date Inspection IVR Inspector Date
Tear Off or Sheathing
Building Final
Inspection Scheduling
The issuance of this permit in no way constitutes approval from any other agencies having regulatory authority over
the facility and this construction activity.
It is the responsibility of the property owner to obtain any and all such
required approvals.
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