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Permit_1511581CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngn9A_nRR7 Issued Date 7/2/2024 Expiration Date 7/2/2026 Job Address 21913 84TH AVE W Fee Paid $177.50 EDMONDS, 98026 Order Confirmation 1317058 Floor Related Permit# Lyon Suite Application ID 1511581 Contact Information Contact Name Sarah Powers Contractor State Roofing Inc Phone Number (253) 361-5925Ext (360) 794-7164 Property Owner Luke & Wroe Colleen Lyon LNILicense# STATER1101JW Address 21913 84TH AVE W EDMONDS, WA Phone# (253) 361-5925 City Bus. License # 600326753 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: Sarah Powers Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngn9A-nRR7 Issued Date 7/2/2024 Expiration Date 7/2/2026 Job Address 21913 84TH AVE W Fee Paid $177.50 EDMONDS, 98026 Order Confirmation 1317058 Floor Related Permit# Lyon Suite Application ID 1511581 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