BLD2024-0267+Application+2.28.2024_10.14.36_AM+4088291CITY OF EDMONDS
Building Application #1448821 - Fulkerson
Applicant
First Name Last Name
Austin Anderson
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MyBuitdingPermit.com
Company Name
Villaqe Life
Number Street Apartment or Suite Number E-mail Address
19020 33rd Ave W 450 austin(L village-life.net
City State Zip
Lynnwood WA 98036
Contractor
Company Name
SIGNATURE HMS BY VILL LIFE LLC
Number Street
19020 33RD AVE W
City State Zip
LYNNWOOD WA 98036
State License Number License Expiration Date UBI #
SIGNAHV788NC 8/2/2024 602977522
Project Location
Number Street
8503 200TH ST SW
Phone Number Extension
(425) 678-1465
Apartment or Suite Number
STE 450
Phone Number Extension
(425) 778-4111
E-mail Address
austin(aD_villagedife.net
City Zip Code County Parcel Number
EDMONDS 98026 27041900202900
Associated Building Permit Number Tenant Name
BLD2023-1355
Additional Information (i.e. equipment location or special instructions).
Work Location
Floor Number Suite or Room Number
Property Owner
First Name Last Name or Company Name
SIGNATURE HOMES BY VILLAGE LIFE LLC
Number Street Apartment or Suite Number
8503 200th ST SW
City State Zip
Edmonds WA 98026
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: 2/28/2024 Submitted By: Austin Anderson
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CITY OF EDMONDS MyBuildingPermit.com
Building Application #1448821 - Fulkerson
Project Contact
Company Name: Village Life
Name: Austin Anderson Email: austin@village-life.net
Address: 19020 33rd Ave W 450 Phone #: (425) 678-1465
Lynnwood WA 98036
Project Type
Single Family Residential
Activity Type Scope of Work
Demolition Primary Residence
Project Name: Fulkerson
Description of Work: Demolition of existing single family house, and all surrounding structures within
the property
Project Details
Demolition Information
Number of dwelling units to be demolished 1
Number of structures to be demolished. 2
The year the structure was built. 1957
Contact Information
Owner Email Address austin@village-life.net
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