Permit_1378694CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f17'i_117Q Issued Date
9/20/2023
Expiration Date
3/18/2024
Job Address
22128 95TH PL W Fee Paid
$177.50
EDMONDS, 98020 Order Confirmation
1253452
Floor
Related Permit#
50517
Suite
Application ID
1378694
Contact Information
Contact Name
Sarah Powers Contractor
State Roofing Inc
Phone Number
(253) 361-5925EXt (360) 794-7164
LNILicense#
STATER1101JW
Property Owner
Alan T &Morrison Jeanne Park
Address
PO BOX 1593 EDMONDS, WA Phone#
(253) 361-5925
City Bus. License #
600326753
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Re -Roof Replacement - Roofing & Sheathing) Accessory Building 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: Sarah Powers
Page 1 of 2
t °F EDAf
0
1893
CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI ngnq*i-117Q
Issued Date
9/20/2023
Expiration Date
3/18/2024
Job Address
22128 95TH PL W
Fee Paid
$177.50
EDMONDS, 98020
Order Confirmation
1253452
Floor
Related Permit#
50517
Suite
Application ID
1378694
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Tear Off or Sheathing
Building Final
Inspection Scheduling
Go to: www.MyBuildingPermit.com or call (425) 771-0220.
Page 2 of 2