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Permit_1457976CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngn9A_f1�_7 Issued Date 3/14/2024 Expiration Date 3/15/2025 Job Address 19311 83RD PL W Fee Paid $177.50 EDMONDS, 98026 Order Confirmation 1291225 Floor Related Permit# BLD2023-1282 Suite Application ID 1457976 Contact Information Contact Name brian chapin Contractor Owner Phone Number (727) 637-3009 Property Owner LNI License # Brian R & Chapin Laura M Chapin Address Phone # 19311 83RD PL W EDMONDS, WA City Bus. License # Property Owner Phone (727) 637-3009 Tenant Name Job Description A (Single Family Residential) (Re -Roof Replacement - Roofing Only) 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: brian chapin Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngn9d-fl'1-7 Issued Date 3/14/2024 Expiration Date 3/15/2025 Job Address 19311 83RD PL W Fee Paid $177.50 EDMONDS, 98026 Order Confirmation 1291225 Floor Related Permit# BLD2023-1282 Suite Application ID 1457976 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