BLD2023-1355+Application+10.26.2023_10.49.08_AM+3862986CITY OF EDMONDS
Building Application #1394131 - Fulkerson
Applicant
First Name Last Name
Austin Anderson
i
MyBuitdingPermit.com
Company Name
Siqnature Homes by Villaqe Life LLC
Number
Street
Apartment or Suite Number E-mail Address
19020
33rd Ave W
450 austin(LD_village-life.net
City
State Zip
Phone Number Extension
Lynnwood
WA 98036
(425) 678-1465
Contractor
Company Name
SIGNATURE HMS BY VILL LIFE LLC
Number
Street
Apartment or Suite Number
19020 33RD AVE W STE 450
City
State Zip
Phone Number Extension
LYNNWOOD
WA 98036
(425) 778-4111
State License Number
License Expiration Date
UBI # E-mail Address
SIGNAHV788NC 8/2/2024
602977522 austin(a-)_villagedife.net
Project Location
Number Street
8503 200TH ST SW
City Zip Code
EDMONDS 98026
Associated Building Permit Number
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
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: 10/26/2023
Submitted By: Austin Anderson
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i
CITY OF EDMONDS MyBuildingPermit.com
Building Application #1394131 - Fulkerson
Project Contact
Company Name: LC ature Homes by 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 Activity Type Scope of Work
Single Family Residential New Construction Residence
Project Name: Fulkerson
Description of Work: construct new 3874 sqft house, demo existing home on site.
Project Details
Structure Type
Single Family Dwelling
Project Information
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
1,801
2,073
5
792
4
1
austin@village-life.net
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