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BLD2022-0989+Application+7.25.2022_2.33.11_PM+3010462CITY OF EDMONDS MyBuildingPermit.com IF Building Application #1168869 - Edmonds 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) 409-1287 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(a_village-life.net Project Location Number Street Floor Number Suite or Room Number 10234 242ND PL SW City Zip Code County Parcel Number EDMONDS 98020 00555000004902 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 Mark Schmidt Villaqe-Life Number Street Apartment or Suite Number 19020 33rd Ave W 450 City State Zip Lynnwood WA 98036 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: 7/25/2022 Submitted By: Mark Schmidt Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Building Application #1168869 - Edmonds Sugar/Scovill Project Contact Company Name: Village -Life Name: Mark Schmidt Email: mark@village-life.net Address: 19020 33rd Ave W 450 Phone #: (425) 409-1287 Lynnwood WA 98036 Project Type Single Family Residential Activity Type New Construction Scope of Work Residence Project Name: Edmonds Sugar/Scovill Description of Work: Construct 2 story 3232 sq.ft. single family residence with attached 2 car garage Project Details Structure Type Single Family Dwelling Project Information Square Feet - Floor 1 Square Feet - Floor 2 Total Bedrooms Square Feet - Garage Total Bathrooms Critical Area Information None Contact Information Owner Email Address 1,400 1,732 5 594 3 mark@viIlage-life.net Page 2 of 2