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BLD2024-1430+Application+10.30.2024_9.55.09_AM+4589658CITY OF EDMONDS MyBuitdingPermit.com Building Application #1569228 - Adult family home wabo inspection Applicant First Name Last Name Company Name Rebeca Zeqeye Number Street Apartment or Suite Number E-mail Address 8414 Maple Ln rebekiazanaw(o-)_yahoo.com City State Zip Phone Number Extension Edmonds WA 98026 (206) 601-7529 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 8414 MAPLE LN City Zip Code County Parcel Number EDMONDS 98026 27043100204200 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 Rebeca & Woldearegay Ermiyas Zeqeye Number Street Apartment or Suite Number 8414 MAPLE LN City State Zip EDMONDS WA 98026 Certification Statement - The applicant states: 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. 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: 10/30/2024 Submitted By: Rebeca Zegeye Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1569228 - Adult family home wabo inspection Project Contact Company Name: Name: Address: Rebeca Zegeye 8414 Maple Ln Edmonds WA 98026 Project Type Single Family Residential Email: rebekiazanaw@yahoo.com Phone #: (206) 601-7529 Activity Type Scope of Work Remodel Adult Family Home Project Name: Adult family home wabo inspection Description of Work: Wabo inspection for adult family home Project Details Mechanical Included? No mechanical work will occur during this project. Plumbing Included? No plumbing work will occur during this project. Work Location Work Description/Location (example: 1 st floor, Master Bath, Garage) Valuation Fair Market Value of Remodeling Work Exterior Changes? The work does not involve changes to the exterior Contact Information Owner Email Address Painting $500 Rebekiazanaw@yahoo.com Page 2 of 2