Application_2021-1034CITY OF EDMONDS MyBuildingPermit.com
Building Application #996255
Applicant
First Name Last Name
Tiana Cooper
Company Name
Four Seasons Roofing
Number Street
17903 State Route 9 SE
Apartment or Suite Number E-mail Address
tiana@fourseasonsroof.com
City State Zip
SNOHOMISH WA 98296
Phone Number Extension
(425)388-9906
Contractor
Company Name
FOUR SEASONS RFNG/RMDL SVS INC
Number Street
16410 84th St NE
Apartment or Suite Number
#D513
City State Zip
Lake Stevens WA 98258
Phone Number Extension
425-388-9906
State License Number License Expiration Date
FOURSRS016QA 4/11/2022
UBI # E-mail Address
FD1 q799q.'1 tiana@fourseasonsroof.com
Project Location
Number Street
8229 FREDERICK PL
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98026
County Parcel Number
00594400007501
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
Richard M & Heather C Russell
Number Street
8229 FREDERICK PL
Apartment or Suite Number
City State
EDMONDS 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: 7/26/2021 Submitted By: Tiana Cooper
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Building Application #996255
Project Type
Single Family Residential
Project Details
Increasing Building Height?
Activity Type Scope of Work
Re -Roof Replacement - Roofing & Sheathing Residence
The height of the building is not increasing.
Page 2 of 2