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Application_1474846CITY OF EDMONDS MyBuildingPermit.com Building Application #1474846 Applicant First Name Last Name Greg Reiswig Company Name Anderson Roofing, Inc. Number Street 200 NE JUNIPER ST Apartment or Suite Number E-mail Address 100 melody@andersonroof.com City State Zip Issaquah WA 98027 Phone Number Extension (425) 222-6569 Contractor Company Name ANDERSON ROOFING INC Number Street 200 NE JUNIPER ST Apartment or Suite Number 100 City State Zip Issaquah WA 98027 Phone Number Extension (425) 222-6569 State License Number License Expiration Date ANDERRIO55DA 3/1/2025 UBI # E-mail Address FD1 isDFD54 melody@andersonroof.com Project Location Number Street 19819 77TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00564000001500 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 Steve Thomas Number Street 19819 77TH PL W Apartment or Suite Number City State EDMONDS WA Zip 98026 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: 4/17/2024 Submitted By: Greg Reiswig Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1474846 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