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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI f17f171 _n7FR_C; Issued Date
6/4/2021
Expiration Date
12/1/2021
Job Address
21103 78TH AVE W Fee Paid
$150.90
EDMONDS, 98026 Order Confirmation
1069411
Floor
Related Permit#
Suite
Application ID
972857
Contact Information
Contact Name
Tiana Cooper Contractor
FOUR SEASONS RFNG/RMDL SVS
Phone Number
425-388-9906
INC
Property Owner
Telvin C & Barbara C Slattum LNI License#
FOURSRS016QA
Address
21103 78TH AVE W EDMONDS, WA Phone#
425-388-9906
City Bus. License #
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: Tiana Cooper
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CITY OF EDMONDS
Building Permit
My6uildingPermitxom
Permit Information
Permit Number
RI n9n91 _n7F_1;
Issued Date
6/4/2021
Job Address
21103 78TH AVE W
Expiration Date
12/1 /2021
Fee Paid
$150.90
EDMONDS, 98026
Order Confirmation
1069411
Floor
Related Permit#
Suite
Application ID
972857
Inspections
Inspection IVR Inspector Date Inspection
IVR Inspector Date
Tear Off or Sheathing
Building Final
Inspection Scheduling
(425) 771-0220 or www.MyBuildingPermit.com
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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.
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