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Application_1378694CITY OF EDMONDS MyBuildingPermit.com Building Application #1378694 Applicant First Name Last Name Sarah Powers Company Name State Roofing Inc Number Street 431 N Kelsey St Apartment or Suite Number E-mail Address sarah.powers@stateroofing.com City State Zip Monroe WA 98272 Phone Number Extension (253) 361-5925 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 (253) 361-5925 (360) 794-7164 State License Number License Expiration Date STATER1101JW 12/21/2023 UBI # E-mail Address Fnm9F;75.'l sarah.powers@stateroofing.com Project Location Number Street 22128 95TH PL W Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 00544200100900 Associated Building Permit Number 50517 Morrison -Park Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Alan T & Morrison Jeanne Park Number Street PO BOX 1593 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: 9/20/2023 Submitted By: Sarah Powers Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1378694 Project Type Single Family Residential Project Details Increasing Building Height? Activity Type Scope of Work Re -Roof Replacement - Roofing & Sheathing Accessory Building The height of the building is not increasing. Page 2 of 2