ENG2023-0057+Application+2.2.2023_11.30.16_AM+3347591CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1263272 - Sugar/Scovill
Applicant
First Name Last Name Company Name
Mark Schmidt Village -Life
Number Street Apartment or Suite Number E-mail Address
19020 33rd Ave W 450 mark(Dvillagedife.net
City State Zip Phone Number Extension
Lynnwood WA 98036 (425) 778-4111 1469
Contractor
Company Name
VILLAGE LIFE HOMES LLC
Number Street Apartment or Suite Number
19020 33RD AVE W 450
City State Zip Phone Number Extension
LYNNWOOD WA 98036 (425)778-4111
State License Number License Expiration Date UBI # E-mail Address
VILLALH84206 10/9/2020 602971179 mark(aD_village-life.net
Project Location
Number Street Floor Number
City Zip Code
Associated Building Permit Number
Additional Information (i.e. equipment location or special instructions).
Work Location
10234 242nd PI SW
Property Owner
First Name
Number Street
City
State
County Parcel Number
Tenant Name
Last Name or Company Name
Certification Statement - The applicant states:
Zip
Suite or Room Number
Apartment or Suite Number
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: 2/2/2023 Submitted By: Mark Schmidt
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CITY OF EDMONDS MyBuildingPermit.com
Right -of -Way Application #1263272 - Sugar/Scovill
Project Contact
Company Name: Village -Life
Name: Mark Schmidt Email: mark@village-life.net
Address: 19020 33rd Ave W 450 Phone #: (425) 778-4111 1469
Lynnwood WA 98036
Project Type Activity Type Scope of Work
Single Family Residential New Excavation and Utility Work
Project Name: Sugar/Scovill
Description of Work: Install underground utilities for new single family residence
Project Details
Project Information
Driveway Access
Utility Service Installation
Impervious Surface
Adding/Replacing 2,000 square feet or more of hard
surface
Clearing and Grading Information
This is neither new development nor redevelopment.
Tree Removal
There are more than five significant trees removed
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