BLD2021-1501+Application+11.2.2021_1.13.39_PM+2497034CITY OF EDMONDS MyBuilaingPermit.com
Building Application #1043863 - Yaecob-Gebre 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
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
7615 201 ST ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00407700100601
Associated Building Permit Number Tenant Name
BLD2021-0795
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
First Name Last Name or Company Name
Genet & Yaecob Samuel Gebre
Number Street Apartment or Suite Number
7615 201 ST ST SW
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. 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: 11/2/2021 Submitted By: Carmelo Laviste
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CITY OF EDMONDS Mysu;laingPerrnit.com
Building Application #1043863 - Yaecob-Gebre 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: Yaecob-Gebre residence
Description of Work: 100 SF bathroom addition
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
There are no critical areas.
Clearing and Grading Information
Total cubic yards of cut and fill 1.3
Mechanical Included?
Mechanical work will occur during this project.
Plumbing Included?
Plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1 st floor, Rear side of the house
Master Bath, Garage)
Valuation
Fair Market Value of Construction Work $20,000
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