BLD2022-0557+Application+5.3.2022_8.13.35_AM+2842535CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1135838 - Edmond Comfort Care
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: 5/3/2022 Submitted By: Carmelo Laviste
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Building Application #1135838 - Edmond Comfort Care
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
Adult Family Home Inspection Only
Project Name: Edmond Comfort Care
Description of Work: Convert the existing Single Family Residence into a 6 beds Adult -Family Home.
Project Details
Project Information
Number of Caretaker Bedrooms 1
Number of Client Bedrooms 6
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