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Permit_1417641CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngnq�-1 s1 n Issued Date 12/15/2023 Expiration Date 6/12/2024 Job Address 19711 80TH AVE W Fee Paid $177.50 EDMONDS, 98026 Order Confirmation 1272140 Floor Related Permit# Suite Application ID 1417641 Contact Information Contact Name Gina Schloer Contractor VALENTINE ROOFING LLC Phone Number (206) 575-7656 Property Owner Steven E &Hoppe Penelope J Hoppe LNI License# VALENRL781 RW Address 5040 28TH AVE S MINNEAPOLIS, Phone# (206) 575-7656 MN City Bus. License # 604983544 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: Gina Schloer Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngnq*i-1 R1 n Issued Date 12/15/2023 Expiration Date 6/12/2024 Job Address 19711 80TH AVE W Fee Paid $177.50 EDMONDS, 98026 Order Confirmation 1272140 Floor Related Permit# Suite Application ID 1417641 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