FIR2021-0111_Application_10.5.2021_10.02.21_AM_2444742CITY OF EDMONDS M BuildingPermit.com
Fire Application #1029640 - Homecoming Celebration
Applicant
First Name Last Name Company Name
Bruce Mindt Edmonds-Woodway High School
Number Street Apartment or Suite Number E-mail Address
7600 212th st sw mindtb@edmonds.wednet.edu
City State Zip Phone Number Extension
Edmonds WA 98026 4254316056
Contractor
Company Name
Owner
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
7600 212TH ST SW 1
City Zip Code County Parcel Number
EDMONDS 98026 27043000104800
Associated Building Permit Number Tenant Name
Edmonds-Woodway High School
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Edmonds EDMONDS SCHOOL DIST 15
Number Street Apartment or Suite Number
20420 68TH AVE W
City State Zip
LYN N WOOD WA 98036-7405
Certification Statement - The applicant states:
I 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. I
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: 10/5/2021 Submitted By: Bruce Mindt
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CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1029640 - Homecoming Celebration
Project Contact
Company Name: Edmonds -School District
Name: Bruce Mindt Email: mindtb@edmonds.wednet.edu
Address: 7600 212th st sw Phone #: 4254316056
Edmonds WA 98026
Project Type Activity Type Scope of Work
Any Project Type Special Temporary Tent
Project Name: Homecoming Celebration
Description of Each Homecoming the cross country team constructs an 8 foot by 10 foot "EW" that is lit on
Work: fire to open the football game here at Edmonds-Woodway. We need a permit for this and a
fire truck on campus to put out the fire when it is completed.
Project Details
Tent Information
Tent Dimensions (L ft x W ft) 10x8
Total Number of Tents 1
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