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Application_1511581CITY OF EDMONDS MyBuildingPermit.com Building Application #1511581 Applicant First Name Last Name Sarah Powers Company Name State Roofing Number Street 9001 Pacific Ave Apartment or Suite Number E-mail Address sarah.powers@stateroofing.com City State Zip Tacoma WA 98444 Phone Number Extension (253) 361-5925 Contractor Company Name State Roofing Inc Number Street 9001 Pacific PO Box 6189 Olympia WA 98507 Apartment or Suite Number City State Zip Tacoma WA 98444 Phone Number Extension (253) 361-5925 (360) 794-7164 State License Number License Expiration Date STATER1101JW 12/21/2025 UBI # E-mail Address FDD'19F75.'I sarah.powers@stateroofing.com Project Location Number Street 21913 84TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27043000102000 Associated Building Permit Number Lyon Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Luke & Wroe Colleen Lyon Number Street 21913 84TH AVE 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: 7/2/2024 Submitted By: Sarah Powers Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1511581 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