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Application_BLD2023-0376CITY OF EDMONDS MyBuildingPermit.com Building Application #1290117 Applicant First Name Last Name Gustavo Mercado Company Name TAVIS ROOFING SERVICE LLC Number Street 30542 4TH AVE SW Apartment or Suite Number E-mail Address TAVYSROOFING@YAHOO.COM City State Zip FEDERAL WAY WA 98023 Phone Number Extension (253) 217-0944 Contractor Company Name TAVI'S ROOFING SERVICE LLC Number Street 30542 4TH AVE SW Apartment or Suite Number City State Zip FEDERAL WAY WA 98023 Phone Number Extension (253)217-0944 State License Number License Expiration Date TAVISRS844QN 11/15/2024 UBI # E-mail Address Fiumss45 TAVYSROOFING@YAHOO.COM Project Location Number Street 16608 76TH AVE W Floor Number Suite or Room Number City Zip Code EDMONDS 98026 County Parcel Number 00693100000600 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 Nicholas H & Kathryn Eng As Ttees Sherman Number Street 16608 76TH 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: 3/28/2023 Submitted By: Gustavo Mercado Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1290117 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