BLD2024-1442_Application_11.1.2024_9.51.24_AM_4596365CITY OF EDMONDS M BuildingPermitxom
Plumbing Application #1570292 - Cedar View New AFH Int Remodel Plumbing
Applicant
First Name Last Name Company Name
Musse Bahta Cedar View AFH
Number Street Apartment or Suite Number E-mail Address
8513 Madrona LN cedarviewafh23@gmail.com
City State Zip Phone Number Extension
EDMONDS WA 98026 (702) 423-0848
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
8513 MADRONA LN 1 NONE
City Zip Code County Parcel Number
EDMONDS 98026 00504700100600
Associated Building Permit Number Tenant Name
BLD2024-0338 NEGHISTI BAHTA
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
*neghisti bahta CEDAR VIEW ADULT FAMILY HOME LLC
Number Street Apartment or Suite Number
8513 MADRONA LANE
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: 11/1/2024 Submitted By: Musse Bahta
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CITY OF EDMONDS MyBuildingPermit.com
Plumbing Application #1570292 - Cedar View New AFH Int Remodel Plumbing
Project Contact
Company Name: Cedar View AFH
Name: Musse Bahta Email: cedarviewafh23@gmail.com
Address: 8513 Madrona LN Phone #: (702) 423-0848
EDMONDs WA 98026
Project Type Activity Type Scope of Work
Mixed Use New Plumbing
Project Name: Cedar View New AFH Int Remodel Plumbing
Description of Work: Plumbing for 4 bathrooms, 1 clothes washer and laundry sink
Project Details
Scope of Work
Plumbing Fixtures for Building Permit
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: 1 st floor, 1 st floor
Master Bath, Garage)
Work to be performed by a licensed contractor
Yes
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