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FIR2022-0100_Application_9.22.2022_11.57.03_AM_3123927CITY OF EDMONDS M BuildingPermit.com Fire Application #1205865 - Edmonds Oktoberfest Applicant First Name Last Name Company Name Jared Loranger Fizz Events Number Street Apartment or Suite Number E-mail Address 3213 W Wheeler St 184 jared@fizzeventsnw.com City State Zip Phone Number Extension Seattle WA 98199 (360) 220-4548 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 700 MAIN ST Playfield NA City Zip Code County Parcel Number EDMONDS 98020 00434208800000 Associated Building Permit Number Tenant Name R3879 Edmonds Rotary Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Jared Loranger Edmonds Rotary Number Street Apartment or Suite Number 3213 W Wheeler St 184 City State Zip Seattle WA 98199 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: 9/22/2022 Submitted By: Jared Loranger Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1205865 - Edmonds Oktoberfest Project Contact Company Name: Fizz Events Name: Jared Loranger Email: jared@fizzeventsnw.com Address: 3213 W Wheeler St 184 Phone #: (360) 220-4548 Seattle WA 98199 Project Type Activity Type Scope of Work Any Project Type Special Temporary Tent Project Name: Edmonds Oktoberfest Description of Work: Edmonds Oktoberfest and Community Festival happening Sept 23 and Sept 24 Project Details Tent Information Tent Dimensions (L ft x W ft) 30x45 Total Number of Tents 1 Contact Information Owner Email Address jared@fizzeventsnw.com Page 2 of 2