FIR2022-0105+Application+10.3.2022_5.05.19_PM+3143249CITY OF EDMONDS nnyst,ilaingPermit.com
Fire Application #1210698 - Fire Operational Permit
Applicant
First Name Last Name Company Name
Brandon Baker Port of Edmonds
Number Street Apartment or Suite Number E-mail Address
336 Admiral Way bbaker(�D_portofedmonds.org
City State Zip Phone Number Extension
Edmonds WA 98020 (425) 775-4588
Contractor
Company Name
Owner
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
336 ADMIRAL WAY
City Zip Code County Parcel Number
EDMONDS 98020 27032300401400
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
Fuel Dock Fuel Dock
First Name Last Name or Company Name
EDMONDS PORT OF
Number Street Apartment or Suite Number
300 ADMIRAL WAY
City State Zip
EDMONDS WA 98020
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: 10/3/2022 Submitted By: Brandon Baker
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1210698 - Fire Operational Permit
Project Contact
Company Name: Port of Edmonds
Name: Brandon Baker Email: bbaker@portofedmonds.org
Address: 336 Admiral Way Phone #: (425) 775-4588
Edmonds WA 98020
Project Type Activity Type Scope of Work
Any Project Type Special Operational Permit
Project Name: Fire Operational Permit
Description of Work: Storage and dispensing of fuel at the Port Fuel Dock
Project Details
Type of Work
None of the above
Hazardous Material
Type of Hazardous Material
Contact Information
Owner Email Address
FUEL
Brandon Baker bbaker@portofedmonds.org
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