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Application_1389794CITY OF EDMONDS MyBuildingPermit.com Building Application #1389794 Applicant First Name Last Name Company Name Tiana Cooper Four Seasons Roofing Number Street Apartment or Suite Number E-mail Address 17903 State Route 9 SE tiana@fourseasonsroof.com City State Zip Phone Number Extension SNOHOMISH WA 98296 (425) 388-9906 Contractor Company Name FOUR SEASONS RFNG/RMDL SVS INC Number Street Apartment or Suite Number 16410 84th St NE City State Zip Phone Number Extension Lake Stevens WA 98258 (425) 388-9906 State License Number License Expiration Date UBI # E-mail Address FOURSRS016QA 4/11/2024 FD1 q799q.'1 tiana@fourseasonsroof.com Project Location Number Street Floor Number Suite or Room Number 1139 3RD AVE S City Zip Code County Parcel Number EDMONDS 98020 00582000200901 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 Kelly Mcgourty Number Street Apartment or Suite Number 1139 3RD AVE S City State Zip EDMONDS WA 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: 10/13/2023 Submitted By: Tiana Cooper Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1389794 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