ENG2024-0124+Application+3.22.2024_3.07.19_PM+4152339CITY OF EDMONDS
Utilities Application #1462599 - 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 STE 450
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
City Zip Code
EDMONDS 98026
Associated Building Permit Number
BLD2023-1355
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Phone Number Extension
(425) 678-1465
Apartment or Suite Number
Phone Number Extension
(425) 778-4111
E-mail Address
austin(aD_villagedife.net
Floor Number Suite or Room Number
County Parcel Number
27041900202900
Tenant Name
Last Name or Company Name
SIGNATURE HOMES BY VILLAGE LIFE LLC
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: 3/22/2024 Submitted By: Austin Anderson
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CITY OF EDMONDS MyBuildinBPermit.com
Utilities Application #1462599 - 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
Water Meter Domestic - Fire Combo
Project Name: Fulkerson
Description of Work: application for water meter, upgrading to 1"
Project Details
Water Meter Type
Domestic and Fire Combo
Water Meter Size
Water meter 1.0
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