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Application_2021-0626CITY OF EDMONDS MyBuildingPermit.com Building Application #958407 Applicant First Name lineth Last Name hernandez Company Name 504 Roofing Ilc Number Street 11309 airport rd Apartment or Suite Number E-mail Address lineth.a.hernandez@gmail.com City State everett WA Zip 98204 Phone Number Extension (206)380-8944 Contractor Company Name 504 ROOFING LLC Number Street 11309 airport rd Apartment or Suite Number City everett State Zip WA 98204 Phone Number Extension (206) 380-8944 State License Number 504RORL793JK License Expiration Date 4/12/2023 UBI # E-mail Address FD471 9RDg lineth.a.hernandez@gmail.com Project Location Number Street 16038 68TH AVE W Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00513100004605 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Steven Last Name or Company Name Noble Number Street 16038 68TH AVE W Apartment or Suite Number City EDMONDS State 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: 5/4/2021 Submitted By: lineth hernandez Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #958407 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