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Application_1402844CITY OF EDMONDS MyBuildingPermit.com Building Application #1402844 Applicant First Name Last Name MASON KOHUT Company Name LOBERG ROOFING Number Street 5800 188th Street SW Apartment or Suite Number E-mail Address A mason@lobergroofing.com City State Zip Lynnwood WA 98037 Phone Number Extension (425) 428-8067 Contractor Company Name LOBERG ROOFING.COM.INC Number Street 5800 188th St SW Ste A Apartment or Suite Number City State Zip Lynnwood WA 98037 Phone Number Extension (425) 775-2276 State License Number License Expiration Date LOBERR*972K8 6/5/2025 UBI # E-mail Address BD998g1 1 R mason@Iobergroofing.com Project Location Number Street 728 7TH AVE N Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27032400218200 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 Nathaniel E & Kirsten A Paust Number Street 728 7TH AVE N Apartment or Suite Number City State EDMONDS WA Zip 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: 11/10/2023 Submitted By: MASON KOHUT Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1402844 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