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Application_1404109CITY OF EDMONDS MyBuildingPermit.com Building Application #1404109 Applicant First Name Last Name Mike Bieniek Company Name Krown homes Ilc Number Street 14331 124th ave ne Apartment or Suite Number E-mail Address c-37 Ilckrown@gmail.com City State Zip kirkland WA 98034 Phone Number Extension (206) 391-6767 Contractor Company Name Krown Homes LLC Number Street 14331 124th ave ne Apartment or Suite Number City State Zip KIRKLAND WA 98034 Phone Number Extension (206) 391-6767 State License Number License Expiration Date KROWNHL817B9 1/30/2025 UBI # E-mail Address FD4,iRFDRD Ilckrown@gmail.com Project Location Number Street 1057 WALNUT ST Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00434203602100 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 Robin & Eileen Torres Number Street 1057 WALNUT ST 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: 11/14/2023 Submitted By: Mike Bieniek Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1404109 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. Page 2 of 2