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Permit_1371835CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI Issued Date 9/5/2023 Expiration Date 3/3/2024 Job Address 9626 216TH PL SW Fee Paid $177.50 EDMONDS, 98020 Order Confirmation 1250256 Floor Related Permit# BLD2023-0366 Suite Application ID 1371835 Contact Information Contact Name SCOTT DELAP Contractor SCOTT DELAP CONSTRUCTION INC Phone Number (206) 466-9972 LNI License# SCOTTDC970131 Property Owner Patricia M Goerlich Address 9626 216TH PL SW EDMONDS, WA Phone# (206) 466-9972 City Bus. License # Property Owner Phone Tenant Name Job Description A (Single Family Residential) (Re -Roof Replacement - Roofing Only) Residence project involving ( The height of the building is not increasing.) Conditions - Post Permit on site. Do not cover until inspected. 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. Applicant: SCOTT DELAP Page 1 of 2 t °F EDAf 0 1893 CITY OF EDMONDS Building Permit My6uildingPermitxom Permit Information Permit Number RI ngnq*i-1 1 v i Issued Date 9/5/2023 Expiration Date 3/3/2024 Job Address 9626 216TH PL SW Fee Paid $177.50 EDMONDS, 98020 Order Confirmation 1250256 Floor Related Permit# BLD2023-0366 Suite Application ID 1371835 Inspections Inspection IVR Inspector Date Inspection IVR Inspector Date Tear Off or Sheathing Building Final Inspection Scheduling Go to: www.MyBuildingPermit.com or call (425) 771-0220. Page 2 of 2