FIR2023-0122+Application+12.22.2023_1.34.28_PM+3968783CITY OF EDMONDS MyBuildingPermit.com
IF
Fire Application #1410871 - Goodwill Edmonds Temporary Tent
Applicant
First Name Last Name Company Name
Katerina Prochaska Jackson Main Architecture
Number Street Apartment or Suite Number E-mail Address
311 First Ave S katerina.prochaska(�b_jacksonmain.com
City State Zip Phone Number Extension
Seattle WA 98104 (206) 324-4800 1111
Contractor
Company Name
Contractor Unknown
Number Street Apartment or Suite Number
City
State License Number
Project Location
State Zip
License Expiration Date
Number Street
10117 EDMONDS WAY
City Zip Code
EDMONDS 98020
Associated Building Permit Number
PLN20190051
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name
Phone Number
UBI # E-mail Address
County Parcel Number
00610600300502
Tenant Name
Everqreen Goodwill
Last Name or Company Name
SBI EDMONDS LLC
Floor Number
1
Extension
Suite or Room Number
None
Number Street Apartment or Suite Number
232 7TH AVE N 100
City State Zip
SEATTLE WA 98109
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: 12/22/2023
Submitted By: Katerina Prochaska
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CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1410871 - Goodwill Edmonds Temporary Tent
Project Contact
Company Name: Jackson Main
Architecture
Name: Benjamin Wolk Email: benjamin.wolk@jacksonmain.com
Address: 311 First Ave S Phone #: (206) 324-4800 1221
Seattle WA 98104
Project Type Activity Type Scope of Work
Any Project Type Special Temporary Tent
Project Name: Goodwill Edmonds Temporary Tent
Existing tent was approved under permit PLN2019-0051. This application is to renew the
Description of temporary tent permit. No changes have been made to the tent since it was approved.
Work: Existing tent is 800 sf and used for storage with an occupant load of less than 10 persons and
it is totally detached from the main building and structurally independent.
Project Details
Tent Information
Tent Dimensions (L ft x W ft)
Total Number of Tents
Will the tent have any vertical sides?
Contact Information
Owner Email Address
40ftLx20ftW
1
debbie.mamallo@evergreengoodwill.org
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