Permit_1400166CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f17'i_1Am Issued Date
11/4/2023
Expiration Date
5/2/2024
Job Address
10712 228TH ST SW Fee Paid
$177.50
EDMONDS, 98020 Order Confirmation
1263565
Floor
Related Permit#
Suite
Application ID
1400166
Contact Information
Contact Name
Aza Cline
Contractor
Mountain Goat Roofing
Phone Number
(206) 625-0190
Property Owner
Todd J Ames & Patricia M Ellermeier LNI License#
MOUNTGR025D7
Address
10712 228TH PL SW EDMONDS, Phone#
(206) 625-0190
WA City Bus. License #
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Re -Roof Replacement - Roofing & Sheathing) 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: Aza Cline
Page 1 of 2
t °F EDAf
0
1893
CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI ngnq*i-1AnA
Issued Date
11/4/2023
Expiration Date
5/2/2024
Job Address
10712 228TH ST SW
Fee Paid
$177.50
EDMONDS, 98020
Order Confirmation
1263565
Floor
Related Permit#
Suite
Application ID
1400166
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