Application_964459CITY OF EDMONDS MyBuildingPermit.com
Building Application #964459
Applicant
First Name
Don
Last Name
Booth
Company Name
DB HOME SERVICE LLC
Number Street
1002 Dayton St
Apartment or Suite Number E-mail Address
drbooth27@gmail.com
City State
Edmonds WA
Zip
98020
Phone Number Extension
(206)795-5328
Contractor
Company Name
DB HOME SERVICE LLC
Number Street
PO BOX 726
Apartment or Suite Number
City
EDMONDS
State Zip
WA 98020
Phone Number Extension
(206)795-5328
State License Number
DBHOMHS924B3
License Expiration Date
3/12/2022
UBI # E-mail Address
BD97q.17qq drbooth27@gmail.com
Project Location
Number Street
518 4TH AVE S
Floor Number Suite or Room Number
City
EDMONDS
Zip Code
98020
County Parcel Number
00872700051800
Associated Building Permit Number
Tenant Name
Additional Information (i.e. equipment location or special
instructions)_
Work Location
Property Owner
First Name
Diane H
Last Name or Company Name
Grignon
Number Street
518 4TH AVE S
Apartment or Suite Number
City
EDMONDS
State
WA
Zip
98020-4110
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: Don Booth
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #964459
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.
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