BLD2021-0762+Application+6.3.2021_4.42.36_PM+2231511CITY OF EDMONDS MyBuilaingPermit.com
Building Application #972540 - Gebresslaswie 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(cD_hotmail.com
City State Zip Phone Number Extension
Shoreline WA 98155 (206) 683-2395
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State
Zip
Phone Number Extension
State License Number
License Expiration
Date UBI #
E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
19628 82ND PL W
City Zip Code County Parcel Number
EDMONDS 98026 00595000002600
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
Almaz Meshesha Ttee Gebresslaswie
Number Street Apartment or Suite Number
19628 82ND PL W
City State Zip
EDMONDS WA 98026-6412
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: 6/3/2021 Submitted By: Carmelo Laviste
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CITY OF EDMONDS Mysu;laingPerrnit.com
Building Application #972540 - Gebresslaswie 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
Remodel Residence
Project Name: Gebresslaswie residence
Description of Work: 1-car garage conversion into a bedroom and office of an existing adult -family
home.
Project Details
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
No plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work
Exterior Changes?
The work involves changes to the exterior
Lower floor 1-car garage conversion into a bedroom
and office of an existing adult -family home.
$30,000
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