BLD2023-0912_Application_7.21.2023_10.49.29_AM_3681302CITY OF EDMONDS M BuildingPermit.com
Plumbing Application #1351577 - AFH remolding
Applicant
First Name Last Name Company Name
Tsehay Ghebresilassie
Number Street Apartment or Suite Number E-mail Address
8907 192nd st SW arseza2@yahoo.com
City State Zip Phone Number Extension
Edmonds WA 98026 (206) 330-3293
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
8907 192ND ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00434600002811
Associated Building Permit Number Tenant Name
BLD20221742
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Tsehay Ghebresilassie
Number Street Apartment or Suite Number
8907 192nd st SW
City State Zip
Edmonds Washington 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: 7/21/2023 Submitted By: Tsehay Ghebresilassie
Page 1 of 2
i
CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1351577 - AFH remolding
Project Contact
Company Name:
Name: Tsehay Ghebresilassie Email: arseza2@yahoo.com
Address: 8907 192nd st SW Phone #: (206) 330-3293
Edmonds WA 98026
Project Type Activity Type
Single Family Residential New
Project Name: AFH remolding
Description of Work: remolding to AFH and upstairs
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
Drains
Floor Drain
Fixtures
Clothes Washer
Dishwasher
Ice Maker
Toilet
Sinks
Sink
Associated Building Permit?
There is or will be a building permit associated with
this work at the project location.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
2
1
2
1
2
2
Scope of Work
Plumbing
upstairs and down stair bathroom down stair and
bathroom upstairs 1 sink in upstairs and 1 sink
downstairs in garage
Page 2 of 2