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Application_BLD2023-1194CITY OF EDMONDS MyBuildingPermit.com Building Application #1380624 Applicant First Name Last Name Company Name Fernando Espina Number Street Apartment or Suite Number E-mail Address 8303 200th Street Southwest ferdespina@gmail.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 849-6297 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 8303 200TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00507300001100 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 Fernando Espina Number Street Apartment or Suite Number 8303 200TH ST SW City State Zip EDMONDS WA 98026 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: 9/25/2023 Submitted By: Fernando Espina Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1380624 Project Type Single Family Residential Project Details Increasing Building Height? Activity Type Scope of Work Re -Roof Replacement - Roofing & Sheathing Residence The height of the building is not increasing. Page 2 of 2