FIR2021-0049+Application+5.16.2021_9.24.23_AM+2199061CITY OF EDMONDS
Fire Application #963914 - Campbell Temp tent
Applicant
First Name
Last Name
Robin
Michel
Number Street
Apartment or Suite Number
7305 Soundview Drive
City State
Zip
Edmonds WA
98026
Contractor
Company Name
Reqent Construction Inc
Number Street
7305 Soundview
Dr
City
State Zip
EDMONDS
WA 98026
State License Number
License Expiration Date UBI #
REGENC1891 K5
5/25/2023 603055500
Project Location
Number Street
24015 84TH AVE W
City Zip Code County Parcel Number
EDMONDS 98026 00491100000108
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
MyBuildingPermit.com
Company Name
Michel Design
E-mail Address
rwmichel1 �D-me.com
Phone Number Extension
2069302445
Apartment or Suite Number
Phone Number Extension
8324233879
E-mail Address
rwmichel1 @me.com
Floor Number Suite or Room Number
1
First Name Last Name or Company Name
CAMNEL PROPERTIES LLC
Number Street Apartment or Suite Number
24329 HW 99
City State Zip
EDMONDS WA 98026
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: 5/16/2021 Submitted By: Robin Michel
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #963914 - Campbell Temp tent
Project Contact
Company Name: Michel Design
Name: Robin Michel Email: rwmichel1@me.com
Address: 7305 Soundview Drive Phone #: 2069302445
Edmonds WA 98026
Project Type
Any Project Type
Activity Type
Special
Project Name: Campbell Temp tent
Description of Work: Install tent structure 14' x 20'
Project Details
Tent Information
Tent Dimensions (L ft x W ft)
Total Number of Tents
Scope of Work
Temporary Tent
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