FIR2023-0119+Application+12.5.2023_1.04.18_PM+3935094CITY OF EDMONDS MyBuilaingPermit.com
Fire Application #1412931 - Edmonds Center for the Arts
Applicant
First Name Last Name Company Name
Lori Meagher Associate Executive Director
Number Street Apartment or Suite Number E-mail Address
410 Fourth Ave N lori(�D_ec4arts.orq
City State Zip Phone Number Extension
Edmonds WA 98370 (425) 275-4485
Contractor
Company Name
Contractor Unknown
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
410 4TH AVE N
City Zip Code County Parcel Number
EDMONDS 98020 27032400207100
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
EDMONDS PUBLIC FACILITIES DISTRICT
Number Street Apartment or Suite Number
121 5TH 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: 12/5/2023 Submitted By: Lori Meagher
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Fire Application #1412931 - Edmonds Center for the Arts
Project Contact
Company Name: Associate Executive Director
Name: Lori Meagher Email: lori@ec4arts.org
Address: 410 Fourth Ave N Phone #: (425) 275-4485
Edmonds WA 98370
Project Type Activity Type Scope of Work
Any Project Type Special Operational Permit
Project Name: Edmonds Center for the Arts
Description of Work: n/a
Project Details
Type of Work
None of the above
Contact Information
Owner Email Address lori@ec4arts.org
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