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Application_1402908CITY OF EDMONDS MyBuildingPermit.com Building Application #1402908 Applicant First Name Last Name Company Name Greg Reiswig Anderson Roofing, Inc. Number Street Apartment or Suite Number E-mail Address 200 NE JUNIPER ST 100 melody@andersonroof.com City State Zip Phone Number Extension Issaquah WA 98027 (425) 222-6569 Contractor Company Name ANDERSON ROOFING INC Number Street Apartment or Suite Number 200 NE JUNIPER ST 100 City State Zip Phone Number Extension Issaquah WA 98027 (425) 222-6569 State License Number License Expiration Date UBI # E-mail Address ANDERRIO55DA 3/1/2025 FD1 isDFD54 melody@andersonroof.com Project Location Number Street Floor Number Suite or Room Number 19217 86TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00626100000500 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 Greg Guenther Number Street Apartment or Suite Number 19217 86TH AVE W City State Zip EDMONDS WA 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: 11/10/2023 Submitted By: Greg Reiswig Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1402908 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