FIR2022-0019+Application+2.17.2022_11.27.45_AM+2687450CITY OF EDMONDS nnyst,ilaingPermit.com
Fire Application #1094729 - Restaurant Operations
Applicant
First Name Last Name Company Name
Accounts Payable Ivars Inc
Number Street Apartment or Suite Number E-mail Address
1109 1st Avenue Suite350 BONNIES(�D_KEEPCLAM.COM
City State Zip Phone Number Extension
Seattle WA 98101 2065876500
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
9910 EDMONDS WAY
City Zip Code County Parcel Number
EDMONDS 98020 27033600113500
Associated Building Permit Number Tenant Name
Ivar's Inc.
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
*Frank Madiqan Properties
Number Street Apartment or Suite Number
1114 HIGH SCHOOL RD NE
City State Zip
BAINBRIDGE ISLAND WA 98110
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: 2/17/2022 Submitted By: Accounts Payable
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1094729 - Restaurant Operations
Project Contact
Company Name: Ivars Inc
Name: Bonnie Sanchez Email: BONNIES@KEEPCLAM.COM
Address: 1109 1 st Avenue Suite Phone #: 2065876500
35
Seattle WA 98101
Project Type Activity Type Scope of Work
Any Project Type Special Operational Permit
Project Name: Restaurant Operations
Description of Work: Fire permit
Project Details
Event Information
Cooking/Heating/Open Flames will be used
Hot Work Operation
Description
Type of Work
None of the above
Event Description
Event Description
Restaurant Operation
Quick Service Restaurant
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