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Application_1575469CITY OF EDMONDS MyBuildingPermit.com Building Application #1575469 Applicant First Name Last Name Brittany Sanders Company Name ROOFIX TECHNOLOGIES LLC Number Street 1140 112th Avenue SE. Apartment or Suite Number E-mail Address 150 Permits@roofix.io City State Zip Bellevue WA 98004 Phone Number Extension (682) 916-1077 Contractor Company Name ROOFIX TECHNOLOGIES LLC Number Street 4809 CENTURY DR Apartment or Suite Number City State Zip FOREST HILL TX 76140 Phone Number Extension (682) 916-1077 State License Number License Expiration Date ROOFITL761BK 1/12/2026 UBI # E-mail Address BD515g617 Permits@roofix.io Project Location Number Street 9128 SIERRA ST Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00572800001000 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 Astrid Ttee Pujari Number Street 9128 SIERRA ST 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: 11/8/2024 Submitted By: Brittany Sanders Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1575469 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