BLD2022-1710+Application+12.15.2022_10.49.50_AM+3259927CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1240359 - Loving time afh
Applicant
First Name Last Name Company Name
Dawit Mamo Lovinq time afh
Number Street Apartment or Suite Number E-mail Address
19301 86th Ave w mamodawit10(�D_yahoo.com
City State Zip Phone Number Extension
edmonds WA 98026 (206) 792-6940
Contractor
Company Name
Owner
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
19301 86TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27041800307700
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 & Mamo Dawit Tadesse
Number Street Apartment or Suite Number
19301 86TH AVE W
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: 12/15/2022 Submitted By: Dawit Mamo
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Building Application #1240359 - Loving time afh
Project Contact
Company Name: Loving time afh
Name: Dawit Mamo
Address: 19301 86th Ave w
edmonds WA 98026
Project Type
Single Family Residential
Project Name: Loving time afh
Description of Work: Afh
Project Details
Project Information
Number of Caretaker Bedrooms
Number of Client Bedrooms
Contact Information
Owner Email Address
Email: mamodawit10@yahoo.com
Phone #: (206) 792-6940
Activity Type
Adult Family Home Inspection Only
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Mamodawit10@yahoo.com
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