FIR2022-0099+Application+9.16.2022_11.37.28_AM+3113048CITY OF EDMONDS MyBuitdingPermit.com
IF
Special Use or Event Application #1203122 - Celebrate!
Applicant
First Name Last Name Company Name
Charlotte Dahlman CORT Party Rental
Number Street Apartment or Suite Number E-mail Address
6101 Associated Blvd Suite 102 charlotte.dahlman(LDcort.com
City State Zip Phone Number Extension
Everett WA 98203 (425) 903-8158
Contractor
Company Name
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
410 4TH AVE N
City Zip Code
EDMONDS 98020
Associated Building Permit Number
#147551
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Apartment or Suite Number
Phone Number Extension
UBI # E-mail Address
Floor Number Suite or Room Number
County Parcel Number
27032400207100
Tenant 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:
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: 9/16/2022 Submitted By: Charlotte Dahlman
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CITY OF EDMONDS MyBuildingPermit.com
Special Use or Event Application #1203122 - Celebrate!
Project Contact
Company Name: CORT Party Rental
Name: Charlotte Dahlman Email: charlotte.dahlman@cort.com
Address: 6101 Associated Blvd Suite Phone #: (425) 903-8158
102
Everett WA 98203
Project Type Activity Type Scope of Work
Any Project Type Special Use Outdoor Seating
Project Name: Celebrate!
Description of Work: Building a 20x30 Kitchen Tent for Edmonds Center For the Arts Annual Event:
Celebrate!
Project Details
Event Location
Private Property
Event Date
Begin Date 9/20/2022
End Date 9/24/2022
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