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Permit_1476053CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngn9A_n_ri9A Issued Date 4/19/2024 Expiration Date 4/19/2026 Job Address 23620 107TH PL W Fee Paid $177.50 EDMONDS, 98020 Order Confirmation 1299924 Floor Related Permit# Suite Application ID 1476053 Contact Information Contact Name Remik Rybienik Contractor Alfa Roofing Phone Number (425) 673-9020 Property Owner Nicole &Derry Tiedeman LNI License# ALFAR**044KA Address 23620 107TH PL W EDMONDS, WA Phone# (425) 673-9020 City Bus. License # Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Re -Roof Replacement - Roofing & Sheathing) 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: Remik Rybienik Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngn9d-(1-9d Issued Date 4/19/2024 Expiration Date 4/19/2026 Job Address 23620 107TH PL W Fee Paid $177.50 EDMONDS, 98020 Order Confirmation 1299924 Floor Related Permit# Suite Application ID 1476053 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