Application_1462568CITY OF EDMONDS MyBuildingPermit.com
Building Application #1462568
Applicant
First Name Last Name Company Name
Aza Cline Mountain GoatRoofing
Number Street Apartment or Suite Number E-mail Address
0278 mgroofs@yahoo.com
City State Zip Phone Number Extension
Lynnwood WA 98046-0278 (206) 841-1645
Contractor
Company Name
Mountain Goat Roofing
Number Street Apartment or Suite Number
0278
City State Zip Phone Number Extension
Lynnwood WA 98046-0278 (206) 625-0190
State License Number License Expiration Date UBI # E-mail Address
MOUNTGR025D7 6/25/2024 FD1774667 mgroofs@yahoo.com
Project Location
Number Street Floor Number Suite or Room Number
21509 88TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00723500000300
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
Andrew & Yolanda Matheson
Number Street Apartment or Suite Number
10617 ROBIN HOOD DR
City State Zip
EDMONDS WA 98020-6161
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: 3/22/2024 Submitted By: Aza Cline
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Building Application #1462568
Project Type
Single Family Residential
Project Details
Increasing Building Height?
Activity Type Scope of Work
Re -Roof Replacement - Roofing Only Residence
The height of the building is not increasing.
Page 2 of 2