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Application_1406416CITY OF EDMONDS MyBuildingPermit.com Building Application #1406416 Applicant First Name Last Name Greg Reiswig Company Name Anderson Roofing, Inc. Number Street 200 NE JUNIPER ST Apartment or Suite Number E-mail Address 100 melody@andersonroof.com City State Zip Issaquah WA 98027 Phone Number Extension (425) 222-6569 Contractor Company Name ANDERSON ROOFING INC Number Street 200 NE JUNIPER ST Apartment or Suite Number 100 City State Zip Issaquah WA 98027 Phone Number Extension (425) 222-6569 (425) 864-8270 State License Number License Expiration Date ANDERRIO55DA 3/1/2025 UBI # E-mail Address FD1 isDFD54 melody@andersonroof.com Project Location Number Street 1015 SPRUCE ST Floor Number Suite or Room Number City Zip Code EDMONDS 98020 County Parcel Number 27032500101500 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 Ruriko O Hudson Number Street 1015 SPRUCE ST Apartment or Suite Number City State EDMONDS WA Zip 98020-3334 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: 11/17/2023 Submitted By: Greg Reiswig Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1406416 Project Type Single Family Residential Project Details Increasing Building Height? Activity Type Scope of Work Re -Roof Replacement - Roofing Only Accessory Building The height of the building is not increasing. Page 2 of 2