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Application_1558143CITY OF EDMONDS MyBuildingPermit.com Building Application #1558143 Applicant First Name Last Name Elijah Lurie Company Name Near Me Roofing Company Number Street 16915 ne 22nd pl Apartment or Suite Number E-mail Address elijah@nearmeroofingcompany.com City State Zip bellevue WA 98008 Phone Number Extension (206) 930-7359 Contractor Company Name NEAR ME ROOFING COMPANY Number Street 16915 NE 22nd PL Apartment or Suite Number City State Zip BELLEVUE WA 98008 Phone Number Extension (502) 807-8930 State License Number License Expiration Date NEARMMR801PT 11/8/2024 UBI # E-mail Address Ruis45i;1:i elijah@nearmeroofingcompany.com Project Location Number Street 7614 193RD PL SW Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00512400000200 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 Kelly Ann & Uriel Ambriz Aparicio Number Street 7614 193RD PL SW 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: 10/7/2024 Submitted By: Elijah Lurie Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1558143 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