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PERMIT EXPIRES �2
CITY OF EDMONDS
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ADDRESS
CONSTRUCTION PERMIT APPLICATION
OVVNEn4�E/NAMEA BUSINESS
PLAT NAMEISUBDtVISION NO,
LOT NO,
LID NO.
LID FEE I
M MAILiNGADDRESS
10315 2q2KZ PIAC.E S\A/
PUBLIC RIGHT OF WAY PEA OFFICIAL STREET MAP
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CITY ZIP
NAME
MEIER SIZE I
LINE SIZE
1 10. OF MIXTURES
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR E80SION CONTROUORAMAGE
CITY
NAME
AAA lm)v �Sm/tce CO,j [Ak
ENGINEERING REVIEWEDIDATE
ADDRESS
77-j j(H�l(L-iEK)D 40E:A)UC
FIRE REVIEWED BY DATE
CITY ZIP
9
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STATE LICENSE NUMBER EXPIRATION RATE
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SERA REVIEW
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DOMAIN JCURBS, SIDEWALKS. DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
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IFTATE SURCHARGE "I
PERMEEAPPLICATI M 18D DAIS
PERMIT LIMIT.' I YEAR - PROVIDED WORK IS STARTED WITHIN ISO DAYS
END REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
END INSPECTION FEE
-APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIAS� ASSIGNS AND SUCCESORS
I N INTEREST. AGREES TO INDEMNtly, DEFEND AND HOLD HARMLESS THE CITY OF
IANDSCAD NO
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ALL CLAIMS FOR D-AGESOF WHATEVER NATURE,ARISING DIR _"' _11
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THE IA A� STATE OF W HINGTON A , ATING
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771-0220
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ATfENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE - YELLOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAX
PINK. OWNER - GOLD ASSESSOR
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oweinen 15:37 425-827-1444 AAA TANK SVC INC PACE V
AAA TANK SERVICE INC. -4
7ZR Kirldgind Ayonjo Iffriallued, Washington 9M3 (43I)SO"U2,
som sAwLE COLLECTION PROJECT
Report #0 1 183572B, dated February 21, 20D2
Ropsillirt the PYOPCM Of. -
Joseph A, Huma and Tgeren IL Bums
Sampte Coillociticts Date;
Site Nam: Situsle figerdly E42iderice
s Addms 10315 242� place W ids, WA 98020
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j soil sample(s) collection date; February 13,2002
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Messoured depth to bottom tank floor: 59 inches below median grade.
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Collection depth ollsoil temple: inches below median grods.
Approximate location ofsoil collection: A soil "grob" sample was collected from 9 inches beneath, the —
XMjoxLn.%t, ggoa of v�rtly after remoi
lonnak The fill has been located in a londscoined
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Notes:
I) *This residential hearing oil unit was niessured and found to be ofitominally 300 gallons capacity (37.5" dia. by
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6W length). 'no unk had contained 21 inches of fluid (approxhiretely 170 gallons) resembling faci oil (hoittins)
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and no water #a determined using 2 wster.rosenive posto test method. A 1/4 inch LD. steel vent pipe for air was
found note the tord; loostion along so exterior wall at the northeast corner ofthe house function-
2) Up" removal, the lingivwiR steel und, shell appeared to be basically bract with moderate corrosion, and 110
visible perforation we# observed after the Wk was pounded to retrieve loose sell ad wale for transport.
did indicate typical oherocterislics 0fPMI0u--
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3) Field scrostring ofsolls exposed in the lank cavity not
contaminated soils; I.%, discoloration, odor, sheen, lie., all noted by Mr. Toby D. Parker, lFCI Licensed UST
Mcommissioning Supervisor, To he slightly dtM sells encountered at the tank Root were Primarily of& hard,
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donse, 4syty-sond coruposition. Groundwater well "Or encountered in the Oxfllvdtim�
4) The 14b"oryC*rtiffmcotArAlysispro�ided for asorple 0CTFI-I reported argoultof"Nl)" irdicating that
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then was nothdactionol'tt is compounds tested for above the minimum reporting level of 25 puts per million
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(ppm) for ilie"I Mgt and 50 ppin for oil range using this penticulc soullysiS 11101110d� The WIShinStOn State
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an Ferrell
Model ToxiesConim! ALI (MTCA) Method A soil cleartupievel for TPH as diesel oridoil r so um
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hydrocarbons i's 2000 ppir.
7bs sample was relinquished to CCI Analytical Laboratories, huc,, wDOS accreditation OC142, under a
clitain-of-ciestody record on 2/24/Q2 for analysis Using Ecology method NVTPH.Dx (7PH-Scinivolatflo
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Range (including thoicl and oil ralops)), Measir too the laboratory CoWflinitte ofAnalysis, and any related
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discurrumbs, attached.
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LimitillIGUS: AAA Tank service Co., Inc, (AAA) has prepared this Jones, to guounwite pertinent infunnation
ropirding Re gamplo(s) collected at this she. nil report has been propered for the exclusive use ofthe person or
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Fortune named above, and their authorized agents. nit report is not intended for use by others, and hufurmation
conjahrodhorsh, is not applicable to other sites, or other 10CAC10111111 On this site, not Innited to the disir"te and vpociflt
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soil here "WW*) collected. no available dam do not provide definitive inforourtion in regard to all put uses.
or
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operations. or hicidoinsis, at this site, and do not constitute proofas to whether or not contsminsted %od groundwater
exists on this prop". This repoin does not include a comprehensive hiveinjostion of the area for all possible
substances subject to repletion or potentially detrimental to human health and/or the envirannnent. No worrartY.
expressed or Implied, should be understood.
Submitted by,
Bon F, Decode
AAA Took service Co., Inc.
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MICROFILM
FINAL PROJECT APPROVAL FORM
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DATE:
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MEMO TO: PERMIT COORDINAT011, BUILDING DIVISION
DEPARTMENT D TE
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DESCRIPTION OF WORK TO BE INSPECTED M 1A.1
A field inspection was conducted to determine final compliance with approved plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDE and the granting of
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractorby inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date�__ Sign
ocaprvl.doc.l:temp.bidg:fot=10101
FINAL PROJECT APPROVAL FORM
TO:
DATE:
NffiMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTNMNT DATE Z-
---ENGINEERING DIVISION DATE--
YLANNING DIVISION DATE —
PROJECT ISU90,- I
SITE ADDRESS 14 33 t z- he
PERWr #2�2�/Q�.ADB#___-PATE INSPECTED—,,J �4
DESCRIPTION OF WORK TO BE INSPECTEDULT—
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PER RM_ANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
/'k Copy of CONDITIONS given to owner/contractor by inspector
1. pl�,v P//Z/(, 'Sol/ &cprj
FAILED FINAL INSPECTION - OUTSTANDING ISSUE S
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3. MICROFILM
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date— Sign_
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
3 FOUNDATION:
Footing ......................
wall ..........
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Pier/Porch .................
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RetainIng Wall ...........
Stab Insulation ..........
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PLUMBING:
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Underground .............
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Rough -In . .................
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Commercial Final
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HEATING:
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GasTest ..................
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Gas P1 IIIng ..........
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Equipment .............
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Commercial Final
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EXTERIOR SHEATHING
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NAILING ...................
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FRAMING . .......................
FIRST FLOOR FRAMING...
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INSULATION ...................
Floor Insulation
4
3:
Wall Insulation ...........
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Coiling Insulation
9
SHEETROCK NAILING
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frill
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................