BLD2023-0882+Application+7.13.2023_7.18.30_PM+3665027CITY OF EDMONDS MyBuildingPermit.com
Building Application #1346790 - Bathroom Remodel
Applicant
First Name Last Name Company Name
Yifat Ish-Am Jifa Planninq&Design
Number Street Apartment or Suite Number E-mail Address
14420 86th PI Ne jifa.arch(@_gmail.com
City State Zip Phone Number Extension
Kirkland WA 98034 (425) 553-9392
Contractor
Company Name
SUPREME REMODELING & DESIGN
Number Street Apartment or Suite Number
2038 155TH PL NE A236
City State Zip Phone Number Extension
BELLEVUE WA 98007 (707) 583-5455
State License Number License Expiration Date UBI # E-mail Address
EVERGPR788KD 5/4/2024 604722583 evergreenproinv(a)gmail.com
Project Location
Number Street Floor Number Suite or Room Number
23529 97TH PL W
City Zip Code County Parcel Number
EDMONDS 98020 00446500000900
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
John E & Susan C Larson
Number Street Apartment or Suite Number
23529 97TH PL W
City State Zip
EDMONDS WA 98020
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: 7/13/2023 Submitted By: Yifat Ish-Am
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1346790 - Bathroom Remodel
Project Contact
Company Name: Jifa Planning&Design
Name: Yifat Ish-Am Email: jifa.arch@gmail.com
Address: 14420 86th PI Ne Phone #: (425) 553-9392
Kirkland WA 98034
Project Type
Single Family Residential
Activity Type Scope of Work
Remodel Residence
Project Name: Bathroom Remodel
Description of Work: instead of a storage room we are adding a bathroom that will be adjacent to a
bedroom and will create a "Master Bathroom"
Project Details
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
Adding a shower to an existing powder room. Adding a
full master bathroom to an existing bedroom in stead of
a storage room.
$50,000
prissymiss@comcast.net
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