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Application_1376184CITY OF EDMONDS MyBuildingPermit.com Building Application #1376184 Applicant First Name Last Name Josh Tentoea Company Name Klim Roofing Inc. Number Street 21828 87th ave se Apartment or Suite Number E-mail Address D josh@klimroofing.com City State Zip Woodinville WA 98072 Phone Number Extension (425) 485-5546 Contractor Company Name KLIM ROOFING AND CONST INC Number Street 21828 87th Ave SE Apartment or Suite Number Unit D City State Zip Woodinville WA 98072 Phone Number Extension (425) 485-5546 (425) 485-5546 State License Number License Expiration Date KLIMRRC897131 2/20/2025 UBI # E-mail Address RDiD55g51 josh@klimroofing.com Project Location Number Street 17126 67TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00419700001400 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 Nancy Parker Number Street 17126 67TH AVE W Apartment or Suite Number City State EDMONDS WA Zip 98026-5203 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: 9/14/2023 Submitted By: Josh Tentoea Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1376184 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