FIR2023-0092+Application+9.21.2023_11.48.00_AM+3796969CITY OF EDMONDS nnyst,ilaingPermit.com
Special Use or Event Application #1379065 - Barn
Applicant
First Name Last Name Company Name
Ryan Hoff Windermere Real Estate
Number Street Apartment or Suite Number E-mail Address
210 5th Ave S 102 rhoff(�D_windermere.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 919-2594
Contractor
Company Name
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
228 5TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 27032300408000
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
JIM BOB INVESTMENTS LLC
Number Street Apartment or Suite Number
234 5TH AVE S
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: 9/21/2023 Submitted By: Ryan Hoff
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CITY OF EDMONDS MyBoi[di ngPerrnit.com
Special Use or Event Application #1379065 - Barn
Project Contact
Company Name: Windermere Real Estate
Name: Ryan Hoff Email: rhoff@windermere.com
Address: 210 5th Ave S 102 Phone #: (206) 919-2594
Edmonds WA 98020
Project Type Activity Type Scope of Work
Any Project Type Special Use Outdoor Seating
Project Name: Barn
Description of Work: Beers in Barn
Project Details
Event Location
Private Property
Event Date
Begin Date 10/2/2023
End Date 10/2/2023
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