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Application_1406264CITY OF EDMONDS MyBuildingPermit.com Building Application #1406264 Applicant First Name Last Name Gina Schloer Company Name Valentine Roofing Inc. Number Street 400 Industry Drive Apartment or Suite Number E-mail Address #130 Gina@valentineroof.com City State Zip Tukwila WA 98188 Phone Number Extension (206) 575-7656 Contractor Company Name VALENTINE ROOFING LLC Number Street 400 INDUSTRY DRIVE Apartment or Suite Number 130 City State Zip TUKWILA WA 98188 Phone Number Extension (206) 575-7656 State License Number License Expiration Date VALENRL781 RW 12/16/2024 UBI # E-mail Address FD4qRi544 Gina@valentineroof.com Project Location Number Street 10700 240TH PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00564900202500 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 Eric A & Wong Elizabeth A Adler Number Street 10700 240TH PL SW 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: 11/17/2023 Submitted By: Gina Schloer Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1406264 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