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BLD2021-0262+Application+2.17.2021_6.35.14_PM+2052566CITY OF EDMONDS MyBuilaingPermit.com Building Application #924005 - Mamo-Tadesse residence Applicant First Name Last Name Company Name Carmelo Laviste CNL Design Number Street Apartment or Suite Number E-mail Address 216 NE 175th street bongnl(cb_hotmail.com City State Zip Phone Number Extension Shoreline WA 98155 (206) 683-2395 Contractor Company Name ASAP Restore LLC Number Street Apartment or Suite Number 25005 76th Ave W City State Zip Phone Number Extension EDMONDS WA 98026 (206)795-4032 (206)795-4032 State License Number License Expiration Date UBI # E-mail Address ASAPRRL840D2 5/16/2022 603574153 asaprestore1(aD_gmail.com Project Location Number Street Floor Number Suite or Room Number 8428 190TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00434600002102 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 Eseqenet Taddesse Number Street Apartment or Suite Number 8428 190TH ST SW City State Zip EDMONDS WA 98026-5938 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 2/17/2021 Submitted By: Carmelo Laviste Page 1 of 2 CITY OF EDMONDS Mysu;laingPerrnit.com Building Application #924005 - Mamo-Tadesse residence Project Contact Company Name: CNL Design Name: Carmelo Laviste Email: bongnl@hotmail.com Address: 216 NE 175th street Phone #: (206) 683-2395 Shoreline WA 98155 Project Type Single Family Residential Activity Type Scope of Work Structure Addition Residence Project Name: Mamo-Tadesse residence Description of Work: 2 bedrooms, powder room, office, and deck addition on an existing adult -family home. Project Details Increasing Building Height? The height of the building is not increasing. Impervious Surface Adding/Replacing less than 2,000 square feet of hard surface Site Information Lot size in square feet Proposed Lot Coverage as a percentage There are no critical areas. Clearing and Grading Information Total cubic yards of cut and fill Mechanical Included? Mechanical work will occur during this project. Plumbing Included? Plumbing work will occur during this project. Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) Valuation Fair Market Value of Construction Work Beam, Column or Footing Relocation or addition of a structural beam, column, or footing Heated Space The work involves adding any new heated space 14350 27 6.52 2 BEDROOMS, POWDER ROOM & OFFICE ONE STORY ADDITION TO AN EXISTING ADULT -FAMILY HOME $110,000 Page 2 of 2