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Application_2021-0464CITY OF EDMONDS MyBuildingPermit.com Building Application #943482 Applicant First Name Last Name Tiana Cooper Company Name Four Seasons Roofing Number Street 17903 State Route 9 SE Apartment or Suite Number E-mail Address tiana@fourseasonsroof.com City State Zip SNOHOMISH WA 98296 Phone Number Extension (425)388-9906 Contractor Company Name FOUR SEASONS RFNG/RMDL SVS INC Number Street 16410 84th St NE Apartment or Suite Number #D513 City State Zip Lake Stevens WA 98258 Phone Number Extension 425-388-9906 State License Number License Expiration Date FOURSRS016QA 4/11/2022 UBI # E-mail Address FD1 q799q.'1 tiana@fourseasonsroof.com Project Location Number Street 19815 88TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 27041900210100 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 Barry & Robyn Klarman Number Street 19815 88TH AVE W 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: 4/1/2021 Submitted By: Tiana Cooper Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #943482 Project Type Single Family Residential Project Details Increasing Building Height? Activity Type Scope of Work Re -Roof Replacement - Roofing & Sheathing Residence The height of the building is not increasing. Page 2 of 2