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Application_1451868CITY OF EDMONDS MyBuildingPermit.com Building Application #1451868 Applicant First Name Last Name adam Cruver Company Name Number Street 10308 224th st se Apartment or Suite Number E-mail Address Adamc1234@gmail.com City State Zip Snohomish WA 98296 Phone Number Extension (206) 307-5166 Contractor Company Name CRUVER'S CONTRACTING LLC Number Street 1002 PINE AVE Apartment or Suite Number City State Zip SNOHOMISH WA 98290 Phone Number Extension (206) 307-5166 State License Number License Expiration Date CRUVECL784K7 6/10/2024 UBI # E-mail Address Rn4RRg555 Adamc1234@gmail.com Project Location Number Street 8500 FREDERICK PL Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00594400006200 Associated Building Permit Number 20230407 Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Russell F\leah Sherry Number Street 8500 FREDERICK PL Apartment or Suite Number City State EDMONDS WA Zip 98026-5035 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: 3/4/2024 Submitted By: adam Cruver Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1451868 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