Application_1257313CITY OF EDMONDS MyBuildingPermit.com
Building Application #1257313
Applicant
First Name Last Name
Ethel Moons
Company Name
Number Street
23923 104th Ave W
Apartment or Suite Number E-mail Address
ecmoons@outlook.com
City State Zip
Edmonds WA 98020
Phone Number Extension
(206) 533-9425
Contractor
Company Name
Haider Construction
Number Street
5607 244th St. SW
Apartment or Suite Number
City State Zip
Mountlake Terrace WA 98043
Phone Number Extension
4257713515
State License Number License Expiration Date
HAIDEC*914DB 4/7/2023
UBI # E-mail Address
BDggD:.174 ecmoons@outlook.com
Project Location
Number Street
23923 104TH AVE W
Floor Number Suite or Room Number
City Zip Code
EDMONDS 98020
County Parcel Number
00555100000906
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
Tom J & Ethel B Moons
Number Street
23923 104TH AVE W
Apartment or Suite Number
City State
EDMONDS 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: 1/20/2023 Submitted By: Ethel Moons
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1257313
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.
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