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Application_964029CITY OF EDMONDS MyBuildingPermit.com Building Application #964029 Applicant First Name Last Name Company Name Dawne Barela Dawne Barela Number Street Apartment or Suite Number E-mail Address 2211 61 barela06@comcast.net City State Zip Phone Number Extension Everett WA 98203 (425)353-1532 Contractor Company Name Dawne Barela Number Street Apartment or Suite Number 2211 61 USA City State Zip Phone Number Extension EVERETT WA 98203 (425) 353-1532 State License Number License Expiration Date UBI # E-mail Address BARELRI872BG 1/19/2023 Rn1957R1 R barela06@comcast.net Project Location Number Street Floor Number Suite or Room Number 19501 82ND PL W City Zip Code County Parcel Number EDMONDS 98026 00634900001300 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 LAGARCIA 19501 82ND LLC Number Street Apartment or Suite Number 7500 212TH ST SW 114 City State Zip EDMONDS WA 98026-7615 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: 5/17/2021 Submitted By: Dawne Barela Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #964029 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