Application_BLD2022-1711CITY OF EDMONDS MyBuildingPermit.com
Building Application #1243106
Applicant
First Name Last Name
Olivia Loreth
Company Name
State Roofing Inc
Number Street
431 N Kelsey St
Apartment or Suite Number E-mail Address
olivia@stateroofing.com
City State Zip
Monroe WA 98272
Phone Number Extension
(360) 794-7164 104
Contractor
Company Name
State Roofing Inc
Number Street
431 N Kelsey ST
Apartment or Suite Number
City State Zip
Monroe WA 98272
Phone Number Extension
360-794-7164 360-990-2220
State License Number License Expiration Date
STATER1101JW 12/21/2023
UBI # E-mail Address
Fnm9F;75.'l olivia@stateroofing.com
Project Location
Number Street
23222 92ND AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
27033600108400
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
Michael Clyde & Sharon Sutter Mitchell
Number Street
23222 92ND AVE W
Apartment or Suite Number
City State
EDMONDS WA
Zip
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: 12/15/2022 Submitted By: Olivia Loreth
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1243106
Project Type
Single Family Residential
Project Details
Increasing Building Height?
Activity Type Scope of Work
Re -Roof Replacement - Roofing & Sheathing Garage Detached
The height of the building is not increasing.
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