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FIR2022-0083+Application+8.25.2022_2.26.11_PM+3073206 (2)CITY OF EDMONDS nnyst,ilaingPermit.com Fire Application #1192504 - 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 Owner Number Street City State License Number Project Location Number Street 9617 FIRDALE AVE City EDMONDS Associated Building Permit Number State Zip License Expiration Date Phone Number UBI # E-mail Address Floor Number Ground Zip Code County Parcel Number 98020 00449900000100 Tenant Name La Casa De Amiqos LLC Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Apartment or Suite Number Extension Suite or Room Number 9643 First Name Last Name or Company Name Dimas Cruz La Casa De Amiqos LLC Number Street Apartment or Suite Number 9643 Firdale 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: 8/25/2022 Submitted By: Dimas Cruz Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #1192504 - 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 Operational Permit Project Name: La Casa De Amigos LLC Description of Work: Fire Permit/Fire Suppression Project Details Event Information Cooking/Heating/Open Flames will be used Food trucks Total Attendance Expected Hot Work Operation Description Type of Work None of the above Compressed Gases Event Description Event Description Tent Information Tent Dimensions (L ft x W ft) Total Number of Tents Will the tent have any vertical sides? Miscellaneous Installation Type Hot Work Operations Hazardous Material Type of Hazardous Material Contact Information Owner Email Address 45 Commercial kitchen food trailer will be parked at firdale village plaza 30ftx10ft 2 Propane tanks cdimas6@gmail.com lacasadeamigosl@gmail.com Page 2 of 2