Application_1612943CITY OF EDMONDS MyBuildingPermit.com
Building Application #1612943
Applicant
First Name Last Name
Mike Derks
Company Name
Number Street
8810 Main Street
Apartment or Suite Number E-mail Address
Mikederks64@gmail.com
City State Zip
Edmonds WA 98026
Phone Number Extension
(206) 604-0340
Contractor
Company Name
GOLDSTAR CONSTRUCTION NW LLC
Number Street
1913 HILL PL
Apartment or Suite Number
City State Zip
SNOHOMISH WA 98290
Phone Number Extension
(206) 718-4130 (425) 345-5863
State License Number License Expiration Date
GOLDSCN771D1 3/22/2025
UBI # E-mail Address
F;n4.i17rigq richovak@yahoo.com
Project Location
Number Street
8810 MAIN ST
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00373600500402
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
Mike Derks
Number Street
8810 MAIN 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: 2/11/2025 Submitted By: Mike Derks
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1612943
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.
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