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FIR2022-0134+Application+12.19.2022_11.05.41_AM+3275693CITY OF EDMONDS nnyst,ilaingPermit.com Fire Application #1244197 - Fire Operational Permit Applicant First Name Last Name Company Name Lori Meagher Director of Finance & Operations Number Street Apartment or Suite Number E-mail Address 410 Fourth Ave N lori(@_ec4arts.org City State Zip Phone Number Extension Edmonds WA 98020 (360) 535-9567 Contractor Company Name Owner Number Street City State License Number Project Location Number Street 410 4TH AVE N City EDMONDS Associated Building Permit Number State Zip License Expiration Date Phone Number UBI # E-mail Address Floor Number All Zip Code County Parcel Number 98020 27032400207100 Tenant Name Edmonds Center for the Arts Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Extension Suite or Room Number First Name Last Name or Company Name Edmonds Public Facilities District Number Street Apartment or Suite Number 410 4th AVE N 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: 12/19/2022 Submitted By: Lori Meagher Page 1 of 2 i CITY OF EDMONDS MyBoildingPermit.com Fire Application #1244197 - Fire Operational Permit Project Contact Company Name: Edmonds Center for the Arts Name: Lori Meagher Email: lori@ec4arts.org Address: 410 Fourth Ave N Phone #: (360) 535-9567 Edmonds WA 98020 Project Type Activity Type Scope of Work Any Project Type Special Operational Permit Project Name: Fire Operational Permit Description of Work: Fire Operational Permit Project Details Event Information Cooking/Heating/Open Flames will be used Total Attendance Expected Type of Work None of the above Event Description Event Description Contact Information Owner Email Address 723 Various performances and events through out the year. chris@ec4arts.org lori@ec4arts.org Page 2 of 2