Application_1400165CITY OF EDMONDS MyBuildingPermit.com
Building Application #1400165
Applicant
First Name Last Name Company Name
Aza Cline Mountain GoatRoofing
Number Street Apartment or Suite Number E-mail Address
0278 mgroofs@yahoo.com
City State Zip Phone Number Extension
Lynnwood WA 98046-0278 (206) 841-1645
Contractor
Company Name
Mountain Goat Roofing
Number Street Apartment or Suite Number
0278
City State Zip Phone Number Extension
Lynnwood WA 98046-0278 (206) 625-0190
State License Number License Expiration Date UBI # E-mail Address
MOUNTGR025D7 6/25/2024 FD1774RR7 mgroofs@yahoo.com
Project Location
Number Street Floor Number Suite or Room Number
10712 228TH ST SW
City Zip Code County Parcel Number
EDMONDS 98020 00637800000600
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
Todd J Ames & Patricia M Ellermeier
Number Street Apartment or Suite Number
10712 228TH PL SW
City State Zip
EDMONDS WA 98020
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: 11/4/2023 Submitted By: Aza Cline
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1400165
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.
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