FIR2022-0128+Application+11.21.2022_11.38.55_AM+3185521CITY OF EDMONDS nnyst,ilaingPermit.com
Special Use or Event Application #1220381 - La Casa De Amigos LLC
Applicant
First Name Last Name Company Name
Dimas Cruz La Casa De Amiqos LLC
Number Street Apartment or Suite Number E-mail Address
9643 Firdale Ave lacasadeamigos1(cD_gmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 (626) 766-5121
Contractor
Company Name
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
9643 FIRDALE AVE
City Zip Code County Parcel Number
EDMONDS 98020 00449900000100
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
First Name Last Name or Company Name
FIRDALE ASSOCIATES LLC
Number Street Apartment or Suite Number
9500 ROOSEVELT WAY NE 100
City State Zip
SEATTLE WA 98115
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: 11/21/2022 Submitted By: Dimas Cruz
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Special Use or Event Application #1220381 - La Casa De Amigos LLC
Project Contact
Company Name: La Casa De Amigos LLC
Name: Dimas Cruz Email: lacasadeamigos1@gmail.com
Address: 9643 Firdale Ave Phone #: (626) 766-5121
Edmonds WA 98020
Project Type Activity Type Scope of Work
Any Project Type Special Use Outdoor Seating
Project Name: La Casa De Amigos LLC
Description of Work: Covering structure for la Casa De Amigos customers.
Project Details
Event Location
Private Property
Event Date
Begin Date 11/15/2022
End Date 10/15/2023
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