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Application_1501634CITY OF EDMONDS MyBuildingPermit.com Building Application #1501634 Applicant First Name Last Name Diana Frazier Company Name North Creek Roofing Number Street 16000 Mill Creek Blvd Apartment or Suite Number E-mail Address 102 Diana@northcreekroofing.com City State Zip Mill Creek WA 98012 Phone Number Extension (425) 483-7986 Contractor Company Name NORTH CREEK ROOFING INC Number Street 16000 Mill Creek Blvd Apartment or Suite Number #102 City State Zip Mill Creek WA 98012 Phone Number Extension (425) 483-7986 State License Number License Expiration Date NORTHCR042C2 2/22/2026 UBI # E-mail Address F;nlF;g1F;s.s Diana@northcreekroofing.com Project Location Number Street 20718 77TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00595800002800 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 Martin W & Jill A Law Number Street 20718 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: 6/10/2024 Submitted By: Diana Frazier Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1501634 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