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BLD2023-0990+Application+8.3.2023_4.08.00_PM+3706593CITY OF EDMONDS nnyst,ilaingPermit.com Building Application #1357693 - Bruhanu 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 18308 72ND AVE W City Zip Code County Parcel Number EDMONDS 98026 00477500001500 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 Amsal T & Kassaya Araya Bruhanu Number Street Apartment or Suite Number 18308 72ND 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: 8/3/2023 Submitted By: Carmelo Laviste Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1357693 - Bruhanu 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 Adult Family Home Project Name: Bruhanu residence Description of Work: Add one interior bedroom and half -bath. Interior alterations, existing bathroom remodel, grab -bars, and 6' exterior ramp installation. Project Details Project Information Bedrooms Added Number of Client Bedrooms Mechanical Included? Mechanical work will occur during this project. Plumbing Included? 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 Contact Information Owner Email Address 9 Add an interior bedroom and one-half bath. Interior alterations and existing bathroom remodel —grab -bar installation and exterior ramp. $15,000 bongnl@hotmail.com Page 2 of 2