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Application_1382463CITY OF EDMONDS MyBuildingPermit.com Building Application #1382463 Applicant First Name Last Name Company Name Gina Schloer Valentine Roofing Inc. Number Street Apartment or Suite Number E-mail Address 400 Industry Drive #130 Gina@valentineroof.com City State Zip Phone Number Extension Tukwila WA 98188 (206) 575-7656 Contractor Company Name VALENTINE ROOFING LLC Number Street Apartment or Suite Number 400 INDUSTRY DRIVE 130 City State Zip Phone Number Extension TUKWILA WA 98188 (206) 575-7656 State License Number License Expiration Date UBI # E-mail Address VALENRL781 RW 12/16/2024 FD4qRi544 Gina@valentineroof.com Project Location Number Street Floor Number Suite or Room Number 19309 80TH AVE W City Zip Code County Parcel Number EDMONDS 98026 27041800406300 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 Jeffrey & Diane Eigenraam Number Street Apartment or Suite Number 19309 80TH AVE W 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: 9/28/2023 Submitted By: Gina Schloer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1382463 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