BLD2021-0162+Application+1.28.2021_3.00.01_PM+2018085CITY OF EDMONDS nn BuildingPermit.com
Building Application #914359 - Distinctive Dental - Dr. Zach Streit, DDS
Applicant
First Name
Last Name
Company Name
Chelsea
Rodqers
Obsidian Desiqn, LLC
Number Street
Apartment or Suite Number E-mail Address
5921 SE Cedar St.
obsidiandesignpdx(@gmail.com
City State
Zip
Phone Number Extension
Milwaukie OR
97222
5035393657
Contractor
Company Name
BIG SKY NORTHWEST LLC
Number Street
Apartment or Suite Number
4901 NE 187TH PL
City
State Zip
Phone Number Extension
LAKE FOREST PARK
WA 98155
:206-259-0936
State License Number
License Expiration Date
UBI # E-mail Address
BIGSKSN841 CC
2/4/2022
603576596 dlong@bigskynorthwest.com
Project Location
Number Street
Floor Number Suite or Room Number
22812 EDMONDS WAY
1 BLDG B
City
Zip Code
County Parcel Number
EDMONDS
98020
27033600102300
Associated Building Permit Number
Tenant Name
Distinctive Dental
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
KISAN ENTERPRISE LLC
Number Street Apartment or Suite Number
20607 SR 9 SE
City State Zip
SNOHOMISH WA 98296-8316
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: 1/28/2021 Submitted By: Chelsea Rodgers
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #914359 - Distinctive Dental - Dr. Zach Streit, DDS
Project Contact
Company Name: Obsidian Design, LLC
Name: Chelsea Rodgers
Address: 5921 SE Cedar St.
Milwaukie OR 97222
Project Type
Nonresidential
Email: obsidiandesignpdx@gmail.com
Phone #: 5035393657
Activity Type
Tenant Improvement
Project Name: Distinctive Dental - Dr. Zach Streit, DDS
Description of Work: New dental practice. Add non load -bearing walls, plumbing, cabinetry.
Project Details
Project Information
Square Feet -Tenant 1,721
Use Information
Use - existing B- Office
Use - proposed B- Office
Valuation
Fair Market Value of Construction Work $275,000
Exterior Changes?
The work does not involve changes to the exterior
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