FIR2022-0125+Application+11.15.2022_11.45.13_AM+3220700CITY OF EDMONDS MyBuilaingPermit.com
Fire Application #1230029 - Protecting the Food Insecure
Applicant
First Name Last Name Company Name
Casey Davis Edmonds Food Bank
Number Street Apartment or Suite Number E-mail Address
828 Caspers St L100 director(D_edmondsfoodbank.org
City State Zip Phone Number Extension
Edmonds WA 98020 (425) 778-5833
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
828 CASPERS ST
City Zip Code
EDMONDS 98020
Associated Building Permit Number
FIR 2022-0044
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Phone Number
UBI # E-mail Address
County Parcel Number
27032400217100
Tenant Name
Edmonds Food Bank
Floor Number
Apartment or Suite Number
Extension
Suite or Room Number
First Name Last Name or Company Name
EDMONDS UNITED METHODIST CHURCH
Number Street Apartment or Suite Number
828 CASPERS ST
City State Zip
EDMONDS WA 98020-2618
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: 11/15/2022 Submitted By: Casey Davis
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CITY OF EDMONDS Mysu;laingPerrnit.com
Fire Application #1230029 - Protecting the Food Insecure
Project Contact
Company Name: Edmonds Food Bank
Name: Casey Davis Email: director@edmondsfoodbank.org
Address: 828 Caspers St L100 Phone #: (425) 778-5833
Edmonds WA 98020
Project Type
Any Project Type
Activity Type
Special
Scope of Work
Operational Permit
Project Name: Protecting the Food Insecure
EDMONDS FOOD BANK -TEMPORARY TENT STRUCTURE Provide coverage for food and
Description of volunteers during distribution at Edmonds Food Bank. Canopies were installed during COVID
Work: however with the 3x increase in customers we are still unable to provide complete inside
service. The canopies are inspected by the installer regularly.
Project Details
Event Information
Total Attendance Expected
Type of Work
None of the above
Event Description
Event Description
Tent Information
Tent Dimensions (L ft x W ft)
Total Number of Tents
Hazardous Material
Type of Hazardous Material
Contact Information
Owner Email Address
Z I
EDMONDS FOOD BANK -TEMPORARY TENT
STRUCTURE Provide coverage for food and volunteers
during distribution at Edmonds Food Bank. Canopies
were installed during COVID however with the 3x
increase in customers we are still unable to provide
complete inside service. The canopies are inspected by
the installer regularly.
various see attached
7
none
Casey Davis director@edmondsfoodbank.org
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