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BLD2024-1450+Application+11.4.2024_11.31.58_AM+4598805CITY OF EDMONDS MyBuildingPermit.com Building Application #1572979 - REBECA, ERMIYAS RES. CONVERSION & INTERIOI 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 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 Zegeye 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: 11/4/2024 Submitted By: ERMIAS KOTU Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Building Application #1572979 - REBECA, ERMIYAS RES. CONVERSION & INTERIOI Project Contact Company Name: eMD Name: ERMIAS KOTU Email: ERMIAS@EMDDESIGNPRACTICE.COM Address: 105 Mall Way phone #: (206) 775-1471 #1027 Marysville WA 98270 Project Type Single Family Residential Activity Type Scope of Work Remodel Adult Family Home Project Name: REBECA, ERMIYAS RES. CONVERSION & INTERIOR ALT (Garage conversion ): For the purpose use for AFH (Adult Family Home). These works will be Description of conducted only on the existing garage and interior modification. The work involves modifying Work: the existing garage for an additional (sleeping area with 1/2 bath), a new main bathroom. (Additional work): Exterior work to add a new deck for the back yard Project Details Project Information Number of Caretaker Bedrooms 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: 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 1 6 (Garage conversion ): For the purpose of use for AFH (Adult Family Home). These works will be conducted only on the existing garage and interior modification. The work involves modifying the existing garage for an additional (sleeping area with 1/2 bath), a new main bathroom. (Additional work): Exterior work to add a new deck for the back yard $80,000 regekiazanaw@yahoo.com Page 2 of 2