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Application_1188604CITY OF EDMONDS MyBuildingPermit.com Building Application #1188604 Applicant First Name Last Name Company Name Kristy Hoff Cornerstone Roofing, Inc. Number Street Apartment or Suite Number E-mail Address 17624 15th Ave SE #101A Kristy@cornerstoneroofing.com City State Zip Phone Number Extension Bothell WA 98012 (425) 485-0111 Contractor Company Name CORNERSTONE ROOFING INC Number Street Apartment or Suite Number 17624 15th Ave SE #101A City State Zip Phone Number Extension Bothell WA 98012 (425) 485-0111 State License Number License Expiration Date UBI # E-mail Address CORNER1011CM 3/8/2024 FD1 BR95D9 Kristy@cornerstoneroofing.com Project Location Number Street Floor Number Suite or Room Number 9719 CHERRY ST City Zip Code County Parcel Number EDMONDS 98020 27031300408500 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 Darren K Jacobsen Number Street Apartment or Suite Number 9719 CHERRY ST City State Zip EDMONDS WA 98020 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: 8/16/2022 Submitted By: Kristy Hoff Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1188604 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