Permit_BLD2023-0814CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f17'i_nA1 A Issued Date
6/29/2023
Expiration Date
12/26/2023
Job Address
21103 84TH AVE W Fee Paid
$177.50
EDMONDS, 98026 Order Confirmation
1235143
Floor
Related Permit#
Suite
Application ID
1340903
Contact Information
Contact Name
Craig Miser Contractor
CORNERSTONE ROOFING INC
Phone Number
(206) 786-5241
Property Owner
* EDMONDS 21103 LLC LNI License#
CORNER1011 CM
Address
615 NW 162ND ST SHORELINE, WA Phone#
(206) 786-5241
City Bus. License #
N R-026244
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Re -Roof Replacement - Roofing Only) 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: Kristy Hoff
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1893
CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n9*i_(1R1A
Issued Date
6/29/2023
Expiration Date
12/26/2023
Job Address
21103 84TH AVE W
Fee Paid
$177.50
EDMONDS, 98026
Order Confirmation
1235143
Floor
Related Permit#
Suite
Application ID
1340903
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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