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Application_1495186CITY OF EDMONDS MyBuildingPermit.com Building Application #1495186 Applicant First Name Last Name Company Name Remik Rybienik Alfa Roofing Number Street Apartment or Suite Number E-mail Address 24226 77th Place West rybienik@alfaroofing.com City State Zip Phone Number Extension Edmonds WA 98026 (425) 673-9020 Contractor Company Name Alfa Roofing Number Street Apartment or Suite Number 24226 77th Place West City State Zip Phone Number Extension Edmonds WA 98026 (425) 673-9020 State License Number License Expiration Date UBI # E-mail Address ALFAR**044KA 1/29/2026 RD17Df1957 rybienik@alfaroofing.com Project Location Number Street Floor Number Suite or Room Number 24109 77TH PL W City Zip Code County Parcel Number EDMONDS 98026 00615600000300 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 Brandon & Seitz Natalie Kleinwort Number Street Apartment or Suite Number 24109 77TH PL W City State Zip EDMONDS WA 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: 5/28/2024 Submitted By: Remik Rybienik Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1495186 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