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FIR2020-0103_Application_11.25.2020_5.38.40_PMCITY OF EDMONDS MyBuildingPermit.com Special Use or Event Application #890341 - Las Brisas Canopy For patio Applicant First Name Last Name Company Name Alvaro Castillo Las Brisas Number Street Apartment or Suite Number E-mail Address 201 5Th Ave S Ste 101 service@Iasbrisasfood.com City State Zip Phone Number Extension Edmonds WA 98020 4252364405 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 201 5TH AVE S City Zip Code County Parcel Number EDMONDS 98020 00434212100100 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 R H OLD MILL TOWN ASSOC LLC Number Street Apartment or Suite Number PO BOX 5003 City State Zip BELLEVUE WA 98009 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: 11/25/2020 Submitted By: Alvaro Castillo Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Special Use or Event Application #890341 - Las Brisas Canopy For patio Project Contact Company Name: Las Brisas Name: Alvaro Castillo Email: service@lasbrisasfood.com Address: 201 5Th Ave S Ste 101 Phone #: 4252364405 Edmonds WA 98020 Project Type Activity Type Scope of Work Any Project Type Special Use Outdoor Seating Project Name: Las Brisas Canopy For patio Description of Work: due to the current COVID-19 situation, we are trying to put canopy in our patio Project Details Event Location Private Property Event Date Begin Date 12/1/2020 End Date 10/1/2021 Page 2 of 2