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BLD2025-0067_Application_1.16.2025_6.26.00_AM_4714236CITY OF EDMONDS MyBuildingPermit.com Building Application #1601887 - Pancake House Applicant First Name Last Name Company Name Scott Dyment Loberg Roofing.com, Inc. Number Street Apartment or Suite Number E-mail Address 5800 188th St SW Ste A scott@lobergroofing.com City State Zip Phone Number Extension Lynnwood WA 98037 (425) 775-2276 Contractor Company Name LOBERG ROOFING.COM.INC Number Street Apartment or Suite Number 5800 188th St SW Ste A City State Zip Phone Number Extension Lynnwood WA 98037 (425) 775-2276 (425) 477-0283 State License Number License Expiration Date UBI # E-mail Address LOBERR*972K8 6/5/2025 RD998g1 1 R scott@lobergroofing.com Project Location Number Street Floor Number Suite or Room Number 23725 HIGHWAY 99 1 1 City Zip Code County Parcel Number EDMONDS 98026 00451900101804 Associated Building Permit Number Tenant Name Pancake House Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name * EDMONDS FPH BUILDING LLC Number Street Apartment or Suite Number 23725 99 1 City State Zip Edmonds WA 98026 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 1/16/2025 Submitted By: Scott Dyment Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1601887 - Pancake House Project Contact Company Name: Loberg Roofing.com, Inc. Name: Scott Dyment Email: scott@lobergroofing.com Address: 5800 188th St SW Ste A Phone #: (425) 775-2276 Lynnwood WA 98037 Project Type Activity Type Nonresidential Re -Roof Replacement - Roofing Only Project Name: Pancake House Description of Work: Remove existing tile roofing. Install new asphalt shingles. Project Details Structure Type Non Residential Building Increasing Building Height? The height of the building is not increasing. Primary Use Other Page 2 of 2