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Application_2021-1668CITY OF EDMONDS MyBuildingPermit.com Building Application #1062398 Applicant First Name Cory Last Name Johnson Company Name Number Street 19726 88th Ave. W Apartment or Suite Number E-mail Address corypjohnson@gmail.com City State Edmonds WA Zip 98026 Phone Number Extension 3607512470 Contractor Company Name NGB Roofing Number Street 19215 80th PI W Apartment or Suite Number City EDMONDS State Zip WA 98026 Phone Number Extension (206)883-6232 State License Number NGBROR*889M7 License Expiration Date 8/4/2022 UBI # E-mail Address Rn97.sif1R47 ngbroofing@gmail.com Project Location Number Street 19726 88TH AVE W Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00549300000400 Associated Building Permit Number BLD2021-0171 Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Lisa & Cory Last Name or Company Name Johnson Number Street 19726 88TH AVE W Apartment or Suite Number City EDMONDS State 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: 12/9/2021 Submitted By: Cory Johnson Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1062398 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