BLD2022-1247+Application+9.16.2022_4.08.42_PM+3114125CITY OF EDMONDS nnyst,ilaingPermit.com
Building Application #1202670 - Kvistad Residence
Applicant
First Name Last Name Company Name
Neil Jorgensen J3 Architects LLC
Number Street Apartment or Suite Number E-mail Address
11702 98th Ave NE 105 neil@i3dlc.com
City State Zip Phone Number Extension
KIRKLAND WA 98034 (206) 412-9296
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
9723 CHERRY ST
City Zip Code County Parcel Number
EDMONDS 98020 27031300403100
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
Cark M Kvistad
Number Street Apartment or Suite Number
9723 CHERRY ST
City State Zip
EDMONDS WA 98020-2337
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: 9/16/2022 Submitted By: Neil Jorgensen
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CITY OF EDMONDS MYBuildingPerrnit.com
Building Application #1202670 - Kvistad Residence
Project Contact
Company Name: J3 Architects LLC
Name: Neil Jorgensen Email: neil@j3-Ilc.com
Address: 11702 98th Ave NE 105 Phone #: (206) 412-9296
KIRKLAND WA 98034
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: Kvistad Residence
Description of Work: CONVERT EXISTING UPPER FLOOR REC ROOM TO A MASTER BEDROOM,
BATHROOM AND OFFICE
Project Details
Mechanical Included?
No mechanical work will occur during this project.
Plumbing Included?
Plumbing work will occur during this project.
Work Location
Work Description/Location (example: 1st floor,
Master Bath, Garage)
Valuation
Fair Market Value of Remodeling Work
Exterior Changes?
The work involves changes to the exterior
Contact Information
Owner Email Address
CONVERT EXISTING UPPER FLOOR REC ROOM TO
A MASTER BEDROOM, BATHROOM AND OFFICE
$20,000
michael@kvistad.org
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