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BLD2023-1658+Application+12.28.2023_1.34.25_PM+3974372CITY OF EDMONDS MyBuildingPermit.com IF Sign Application #1421745 - Dusted Valley Sandwich Board Applicant First Name Last Name Company Name Chelsea Tennyson Dusted Valley Number Street Apartment or Suite Number E-mail Address 201 Main Street Suite 102 ctennyson('gD_dustedvalley.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 909-9581 Contractor Company Name Contractor Unknown Number Street city State License Number Project Location Number Street 201 MAIN ST city EDMONDS Associated Building Permit Number State Zip License Expiration Date UBI # Zip Code County Parcel Number 98020 00434400700700 Tenant Name Dusted Valley Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name EDMONDS 2020 LLC Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number 1 102 Number Street Apartment or Suite Number 307 BELL ST City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: 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. 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: 12/28/2023 Submitted By: Chelsea Tennyson Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Sign Application #1421745 - Dusted Valley Sandwich Board Project Contact Company Name: Dusted Valley Name: Chelsea Tennyson Email: cennyson@dustedvalley.com Address: 201 Main Street Suite 102 Phone #: (206) 909-9581 Edmonds WA 98020 Project Type Activity Type Scope of Work Nonresidential Permanent Sign Freestanding Project Name: Dusted Valley Sandwich Board Description of Dusted Valley would like to obtain a sandwich board that would be placed near the entrance Work: to the wine bar and used to promote upcoming events or special promotions. It would be a chalk board so staff could easily erase and update. Project Details Sign 1 Type Other Page 2 of 2