5009 COLBY AVE 2018-01-02 MF Import

Authorization for home modification Date: August 30, 2012 Scott C. Ellis (Properry owner) 5009 Colby Ave. Everett WA 98203 RE: Letter requesting authorization to modify property / home to meet requirements to utflizing the property as a Iicensed AFH Adult Family Nome. To whom it may concern: I Scott C. Ellis, the legal owner of the above stated property do herby grent Dorrie Houghton (A BEAUTIFUL PIACE, INC.) permission: To conduct, modify or change the property and or home to meet or exceed the requiremenu for the above named organization to establish the property as a licensed Adult Family Home. Any modiflcations or changes must be in accordance with all State and Federal laws and Ifcensing requirements, with the exception of structural changes, which must be approved by the property owner. A Iicensed and bonded contractor must conduct any modifications or changes to the property or home, as to protect the homeowner from any Iiabilities. The homeowner is not affiliated with or collaborated with the above named company, A BEAUTIFUL PLACE, iNC., and cannot be held liable for any actions or obligations of said ^ company. Sincerely, SCOY[ C. EIIIS This authorization is valid for 1825 days, 5 years, irom the dat: o( my signature below, unless the home owners lender requires the homeowner to do otherwise or legally claims ownership of the property, ar the property is sold; at which time this authorilatlon will be "Null and void" Piease retafn a copy of my authorization for your ffles, Thank you in advance for your corporatfon. Property owner: Scott C. Ellis Phone: (425) 436-0433 Home Address: 11802 SBth Ave. NE, Ma ille, WA 98271 Signature of property own Datc signed: OS/12/2012