Permit_1393430CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f17'i_1 *11 A Issued Date
10/23/2023
Expiration Date
4/20/2024
Job Address
1412 OLYMPIC AVE Fee Paid
$177.50
EDMONDS, 98020 Order Confirmation
1260351
Floor
Related Permit#
Suite
Application ID
1393430
Contact Information
Contact Name
Cipriano Chavez
Contractor
Haider Construction
Phone Number
(425) 577-2729
Property Owner
Michael &Soma Smith LNI License#
HAIDEC*914DB
Address
1412 OLYMPIC AVE EDMONDS, WA Phone#
(425) 577-2729
City Bus. License #
602903374
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: Cipriano CXhavez
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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI ngnq*i-1'11d
Issued Date
10/23/2023
Expiration Date
4/20/2024
Job Address
1412 OLYMPIC AVE
Fee Paid
$177.50
EDMONDS, 98020
Order Confirmation
1260351
Floor
Related Permit#
Suite
Application ID
1393430
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.
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