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Application_1206700CITY OF EDMONDS MyBuildingPermit.com Building Application #1206700 Applicant First Name Last Name Company Name Mark Ingold Number Street Apartment or Suite Number E-mail Address 19111 92nd Ave W mark@ingold.org City State Zip Phone Number Extension Edmonds WA 98020 (206) 295-0316 Contractor Company Name Owner Number Street Apartment or Suite Number City State Zip Phone Number Extension State License Number License Expiration Date UBI # E-mail Address Project Location Number Street Floor Number Suite or Room Number 19111 92ND AVE W City Zip Code County Parcel Number EDMONDS 98020 00434600002901 Associated Building Permit Number Tenant Name BLD-2021193 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Mark Ingold Number Street Apartment or Suite Number 19111 92ND AVE W City State Zip EDMONDS WA 98020-2319 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: 9/24/2022 Submitted By: Mark Ingold Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1206700 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