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Application_1473027CITY OF EDMONDS MyBuildingPermit.com Building Application #1473027 Applicant First Name Last Name Company Name Heidi May Larry Haight's Residential Roofing Co., Inc. Number Street Apartment or Suite Number E-mail Address 15203 NE 95th St Heidi@larryhaight.com City State Zip Phone Number Extension Redmond WA 98052 (425) 881-9771 Contractor Company Name LARRY HAIGHT'S RES RFNG CO Number Street Apartment or Suite Number 15203 NE 95th St City State Zip Phone Number Extension Redmond WA 98052 (425) 881-9771 State License Number License Expiration Date UBI # E-mail Address LARRYHR150DA 4/12/2026 RDD5R5g87 Heidi@larryhaight.com Project Location Number Street Floor Number Suite or Room Number 21920 98TH AVE W City Zip Code County Parcel Number EDMONDS 98020 00637000000200 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 Mahyar Rahbarrad Number Street Apartment or Suite Number 21920 98TH AVE W City State Zip EDMONDS WA 98020-3926 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: 4/13/2024 Submitted By: Heidi May Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1473027 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