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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9ing1 _iris (1 Issued Date
5/17/2021
Expiration Date
11/13/2021
Job Address
19501 82ND PL W Fee Paid
$150.90
EDMONDS, 98026 Order Confirmation
1065351
Floor
Related Permit#
Suite
Application ID
964029
Contact Information
Contact Name
Dawne Barela
Contractor
Dawne Barela
Phone Number
(425) 353-1532
Property Owner
* LAGARCIA 19501 82ND LLC LNI License#
BARELRI872BG
Address
7500 212TH ST SW EDMONDS, WA Phone#
(425) 353-1532
City Bus. License #
603257616
Property Owner Phone
Tenant Name
Job Description
A (Single Family Residential) (Re -Roof Replacement - Roofing Only) Residence project involving ( The height of the
building is not increasing.)
Conditions - Post Permit on site. Do not cover until inspected.
Do not start any work until the preconstruction meeting is completed.
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.
Applicant: Dawne Barela
Page 1 of 2
CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9ngi-nRRn
Issued Date
5/17/2021
Job Address
19501 82ND PL W
Expiration Date
11/13/2021
Fee Paid
$150.90
EDMONDS, 98026
Order Confirmation
1065351
Floor
Related Permit#
Suite
Application ID
964029
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Tear Off or Sheathing
Building Final
Inspection Scheduling
(425) 771-0220 or www.MyBuildingPermit.com
❑�❑�
r
Subject to any and all conditions as listed on Page 1 of this document.
Re -inspection fees may apply if work is not ready for a requested inspection.
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Follow the jurisdiction's construction hours and noise restrictions.
Page 2 of 2