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Application_1506655CITY OF EDMONDS MyBuildingPermit.com Building Application #1506655 Applicant First Name Last Name Nick Bagoshvili Company Name NGB ROOFING LLC Number Street 19215 80th PL W Apartment or Suite Number E-mail Address Nick@ngbroofing.com City State Zip Edmonds WA 98026 Phone Number Extension (206) 883-6232 Contractor Company Name NGB ROOFING LLC Number Street 19215 80TH PL W Apartment or Suite Number City State Zip EDMONDS WA 98026 Phone Number Extension (206) 883-6232 State License Number License Expiration Date NGBRORL773JP 4/17/2025 UBI # E-mail Address BD41 ARg4R Nick@ngbroofing.com Project Location Number Street 24206 78TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00488700201800 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 Morgan C & Dayao Dino L Hellar Number Street 24206 78TH 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: 6/19/2024 Submitted By: Nick Bagoshvili Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1506655 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