BLD2023-0496+Application+4.20.2023_1.30.58_PM+3495676CITY OF EDMONDS MyBuilaingPermit.coin
Building Application #1302403 - Henok Res. Interior Alteration
Applicant
First Name Last Name Company Name
ERMIAS KOTU eMD
Number Street Apartment or Suite Number E-mail Address
105 Mall Way 1027 ERMIAS@EMDDESIGNPRACTICE.COM
City State Zip Phone Number Extension
Marysville WA 98270 (206) 775-1471
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
22021 76TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 27042900305100
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
Henok B & Woldeyes Konjit Yeshewaerqet
Number Street Apartment or Suite Number
1504 50TH ST SE
City State Zip
EVERETT 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: 4/20/2023 Submitted By: ERMIAS KOTU
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CITY OF EDMONDS M BuildingPerrnit.com
Building Application #1302403 - Henok Res. Interior Alteration
Project Contact
Company Name: eMD
Name: ERMIAS KOTU Email: ERMIAS@EMDDESIGNPRACTICE.COM
Address: 105 Mail Way 1027 Phone #: (206) 775-1471
Marysville WA
98270
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Adult Family Home
Project Name: Henok Res. Interior Alteration
Interior work @ (Main level): To modify and remodel the existing house (Main level) to convert it
for the purpose used for AFH. The work will consist of converting the existing nook area to a
Description of bedroom/storage to modify and convert the existing laundry room to a new 1/2 bath and to
Work: relocate the laundry. Lastly, convert the the existing family room into a bedroom & divide one of
the existing bedrooms into (2) rooms. Exterior work @ (Main level): To add a new ramp for the
existing entry & resurfacing the existing pavement.
Project Details
Mechanical Included?
No 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
Work locations: In the existing nook area, existing
family room, existing bedroom B, existing laundry closet
Fair Market Value of Remodeling Work $56,000
Exterior Changes?
The work does not involve changes to the exterior
Contact Information
Owner Email Address
henery05@yahoo.com
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