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20170202105754.pdfDEVELOPMENT SERVICES PLUMBING, MECHANICAL, TANK, & DEMOLITION PERMIT APPLICATION 121 5 b Avenue N, Edmonds, WA 98020 Sr Phone 425.771.0220 2 Fax 425.771,0221 City of Edmonds p PLEASE REFFSR 70 THE I'LUM13I G & MEC: ANIC L CRECKIMTFOR S UBMITT11L1REQUIREAlF.AlTs PROJECT ADDRESS (Street, Suite #, City State, Zip): Parcel #: 8110 204th PL SW, Edmonds, WA 98026 00614400000700 Associated Permit #: IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes No� APPLICANT: Phone: F-548-9352 Filco Company Inc. 206-547-8347 Address (Street, City, State, Zip): E-Mail Address: PO Box 31.228 Seattle, Washin ton 98103 info@filcoenviro.com PROPERTY OWNER: Phone: Fax: Brandv Hanson 425-478-5108 Address (Street, City, State, Zip): E-Mail Address: 8110 204th PL SW, Edmonds, WA 98026 hellodaisy77@gmail.com LENDING AGENCY: Phone: Fax: Address (Street, City, State, Zip); E-Mail Address: CONTRACTOR:* Phone: Fax: lFilco Company Inc. 206-547-8347 06-548-9352 Address (Street, City, State, Zip): E-Mail Address: PO Box 31228 Seattle, Washington 98103 info@filcoenviro.com WA State License lE p. Dater *Contrwaclor must have a valid City o Edrrronds business license prior to doing work FILCOC1080RU in the City. Contact the City Clerk's Office at 425.775.2525 City Business License &Exp. Date: -------- PLUMBING MECHANICAL �TANKDEMOLITION LjII DETAIL THE SCOPE OF WORK: Pump, rinse and f1111n place with feat"1"'1 one 300 residential heating oil tank. Cut vent and fill pipe below grade, d dcctare under perrrrl()� crl rer rrr°p tarts that the information I hope provided orr thisfornl"applicadom is true, correct and complete, and that t am the propertj, owner or duly authorized agent iqf the proper& owner to srrlrnrit a,permit application trr the City of Edmonds. Print Name: yee—S Owner Agent/Other(specify): Contractor Signature°, Date: 04 — e;Z rlC 1-7 'FORM IVI C T ARnOdi— Mr PMdi 'JM n\ V1T1F Z v f.. 1 hn i ji.,i ii -M.— A.. P\F ..r, OM A A...... t b.. --J. re, av . �+riRr/r � 7 .�D..:1A:_..7,1.....r..,ia.._ �nin�nnwir o. _, a�___� ._ r n..a�:__ i.r_... �_:.._tr...—. n nni a �___. xe a., r . i«.,M.�..