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Application_1172539CITY OF EDMONDS MyBuildingPermit.com Building Application #1172539 Applicant First Name Laura Last Name Hansen Company Name Number Street 19927 89th PL W Apartment or Suite Number E-mail Address lauraburns257@gmail.com City State Edmonds WA Zip 98026 Phone Number Extension (206) 930-6966 Contractor Company Name Haider Construction Number Street 5607 244th St. SW Apartment or Suite Number City Mountlake Terrace State Zip WA 98043 Phone Number Extension 2066019254 State License Number HAIDEC*914DB License Expiration Date 4/7/2023 UBI # E-mail Address BDggD:.174 paul@haiderconstruction.com Project Location Number Street 19927 89TH PL W Floor Number Suite or Room Number City EDMONDS Zip Code 98026 County Parcel Number 00506200000600 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Laura Last Name or Company Name Burns Number Street 19927 89TH PL 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: 7/13/2022 Submitted By: Laura Hansen Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1172539 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