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Application_1615937CITY OF EDMONDS MyBuildingPermit.com Building Application #1615937 Applicant First Name cipriano Last Name Chavez Company Name Haider Construction Number Street 5607 244th St. SW Apartment or Suite Number E-mail Address cipriano@haiderconstruction.com City State Mountlake Terrace WA Zip 98043 Phone Number Extension (425) 577-2729 Contractor Company Name Haider Construction Number Street 5607 244th St. SW Apartment or Suite Number City Mountlake Terrace State Zip WA 98043 Phone Number Extension (425) 577-2729 State License Number HAIDEC*914DB License Expiration Date 4/7/2025 UBI # E-mail Address BDggD:.174 cipriano@haiderconstruction.com Project Location Number Street 23405 92ND AVE W Floor Number Suite or Room Number City EDMONDS Zip Code 98020 County Parcel Number 00555300100503 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Timm K & Ashley M Last Name or Company Name Bischoff Number Street 23405 92ND AVE W Apartment or Suite Number City EDMONDS State WA Zip 98020 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: 2/19/2025 Submitted By: cipriano Chavez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1615937 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