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Application_1436311CITY OF EDMONDS MyBuildingPermit.com Building Application #1436311 Applicant First Name Last Name Company Name Diana Frazier North Creek Roofing Number Street Apartment or Suite Number E-mail Address 16000 Mill Creek Blvd 102 Diana@northcreekroofing.com City State Zip Phone Number Extension Mill Creek WA 98012 (425) 483-7986 Contractor Company Name NORTH CREEK ROOFING INC Number Street Apartment or Suite Number 16000 Mill Creek Blvd #102 City State Zip Phone Number Extension Mill Creek WA 98012 (425) 483-7986 State License Number License Expiration Date UBI # E-mail Address NORTHCR042C2 2/22/2026 F;nlF;g1F;s.s Diana@northcreekroofing.com Project Location Number Street Floor Number Suite or Room Number 18909 92ND AVE W City Zip Code County Parcel Number EDMONDS 98020 00561500000100 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 Theresa F Hutchison Number Street Apartment or Suite Number 18909 92ND AVE W City State Zip EDMONDS WA 98020-2317 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: 1/31/2024 Submitted By: Diana Frazier Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1436311 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