BLD2023-1219+Application+9.29.2023_1.34.20_PM+3813002CITY OF EDMONDS MyBuildingPermit.com
Building Application #1382717 - Fulton Residence
Applicant
First Name Last Name Company Name
Jay Fulton
Number Street Apartment or Suite Number E-mail Address
8630 112TH LN NE jay.fulton1l'gD_gmail.com
City State Zip Phone Number Extension
Kirkland WA 98033 (425) 827-4470
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
654 4TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 00409600101100
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
Jay A & Merri Keefer Fulton
Number Street Apartment or Suite Number
8630 112TH LANE NE
City State Zip
KIRKLAND WA 98033
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: 9/29/2023 Submitted By: Jay Fulton
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1382717 - Fulton Residence
Project Contact
Company Name:
Name: Jay Fulton Email: jay.fulton1@gmail.com
Address: 8630 112TH LN NE Phone #: (425) 827-4470
Kirkland WA 98033
Project Type Activity Type Scope of Work
Single Family Residential New Construction Residence
Project Name: Fulton Residence
Description of Work: New construction of single family residence with attached garage.
Project Details
Structure Type
Single Family Dwelling
Project Information
Square Feet - Deck
Square Feet - Floor 1
Square Feet - Floor 2
Total Bedrooms
Square Feet - Garage
Total Bathrooms
Total Dwelling Units
Critical Area Information
None
Contact Information
Owner Email Address
312
1,961
443
2
605
3
1
Jay.Fulton1@gmail.com
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