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Ngoc & Binh Pern'llit * 23117 76th Ave W
I roi-n" Johns, Kristin (Kristin.Johns@edi-nondswa.gov)
Sen��,-. Mon ll/03/142:53PM
'DIAN ESTANKC&HOTMAIL.COM' (DIANESTANX(la)
,,HOTMAIL.COM)
I atlaclunent
20W W3 K13)
The Critical Area Study has been completed. Attached is the tank permit for 23117 7e Ave W.
Thanks!
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1215"111 AVENUE NORTH - EDMONDS, WA 98020
PHONE (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 11/03/2014 iemtim BLD20141i
Expiration Date. 05103/2015 ivject Address: 23117
Paivel No: 00488800400304
VALUATION: $0.00
I AGREETOCONIPLY WYMCUY AND 91 ION AN D IN DOINGT I IF WORK. A UT11CIRIZED
TH ERE BY, No PERSON %kl11.1. BE FiMPLOYED IN VIOLATION OFTHELABOR CODE OFT HE STAT F. 0F%VASHVN(a'0N REA. AT ING TO
%V0RKh4ENSCObAPENSATMN INSIMAWE AM) RC W 1817.
THIS A PPIA CATION is NOT A PERM IT UNTIL SKMED BY THE URLDINGOIFFICIAL OR I JJ?S/FIFR DL-,'PUTY A Iq D ALA, A RE,' ('MD
S I
ignature Print Narne Date
By
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ATTENTION
JTM UNLA"TUL TO USE OR UUMPYA BUILDING OR STAW'IUKH LIN TIL A HNAL IMPEcnoN FAS BEEN MADE AND APPROVAL OR A (TR I wrA rE uF
OCCUPANCY IKS BEEN GRAN10) UBUINI MCI VV MCI 10
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ONME kppl w 4 qT Ahmt
STATUS: ISSUED BLD20141097
gymommmommomm
a Firc Marshal must be present fiat tank work (fill, removal, tar cap:).)
e final approval on a project or ("Mat ciccutprancy approval surest be granted by the BUildirr;t' OfTk4 l Prior to Ll,tie err- r„rcCarpiaarcy of
t'lic buildinS or strLactuure. (�hecas the job card For all required City inspections including firra'l proJec.t approval and final
occupancy inspections.
0 Ally request liar alternate design, modification, variance or• otheradrrrinistrative deviation (hercinafler ` varimice"') t-orn
adopted codes, ordinances or policies nrtast be specifically requested in writing and be called out and identified, Processing
fees forsuch request shall be established by C:orincil and shall lie paid upon submittal and erre. non-reflunda'ble,
Approval of'any plat or plan containing provisions which do not comply with city code and €orwhic h a variance has not been
specifically identified, requested and considered by the appropriate city official in accoidaneewith the appropriate; provision
of city code or state law does not approve any items not to code specifis;atiorr.
Sound/Nolle originating fiomtempaoriary construction sites as a result orconstrraction activity are exempt From the noise limits
ofECC C:'hapter 5,30 only burring, the horra-s of 7:00aarrt to 6:00para on weekdays and 10:00arn and 6:00prra ora Sattrrdasys, excluding
Sundays art(] Federal Holidays. At ale other'lilms tate noise originating liom construction siteslaotivpties ntu st comply wwfidl the
noise limits ofChapter 5.30, sunless as variance has been gran ed pursuant to ECK' 5.30,120.
Applicant, oil behalfofItis orher^sponse, helrs,ass igns, and suacces sors in hi(crests, agreesto indemnify defend and hold
harmless the City ofEdmonds, Washington, its officials, employees, and agents from any nand all crlaainss for darraapes of
whatever na'ltire, arising, directly or indirectly frornthe issttancc, for this permit. Issuance of -this permii shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to on force any ordinance
provision.
'71-11S PERMITAUTPEORLZE'S ONLY THE vkdORK NOTED. Tr4S P&:Rmi r COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. r N!Y CONSTRUCTION ON 1HE.
PUBLIC; t7OhrNmx N (CURBS, SR)Eq^dALKS, L)RWF! W"vAYS, MARQUEES, E"rc.f "d1NNa_r_ REQUIRE SEPARATE P%FN,MI, 5S ON
t'kir MIT TIME UMIT: SEE ECDC 19.00.005(A96)
llll.,lyl 4'(f L42-) l71 -()220L7 l 1333 +fid INEERISG ( 5 771-0220 EXT. 1326
IAtJ' 1L y i4 f X42.5) 771-0235_._0._ ._._ PRp.."FRE, 111th 1"(423)672 5255 ....._.
When CaaIIirig for all irisf*ctiaan lrl'ease leave the ftalhawwing infer maatim Permit Ntarastaer, Job Site;
s�e,cylrestcrl„ C.aaar�txaet iSaaare aaraal p'ticnae iSasrrttlx�a�.l7ate. prel4sa�eed, arrs�wietlica� vara rirarac.r
F -'Canis Inspection
No
2754801
fi-ess, Tyl-w crfirmllwctimi lae hig
r°aiim, or carter nfiran.
B-1-6-112414-391 ppm (pid 16 .5)
V1.
Diane's Tank Removal
ServiceS9 LLC
P.O. Box 77738
Seattle, WA 98177
LIMMM
SOIL SAMPLE LOCATION jDrawing Not To Scale
23117 76TH Ave W
Edmonds, Washington.
A
G
V
DRAFT
Date of Report: 12/09/14
Date Received: 12/05/14
Project: 23117 76th Ave W, P&BI 412119
Date Extracted: 12/05/14
Date Analyzed: 1.2/05/14
RESULTS FROM THE ANALYSIS OF SOIL SAMPLES
FOR TOTAL PETROLEUM HYDROCARBONS AS DIESEL
USING METHOD NWTPH-Dx
Extended to Include Motor Oil Range Compounds
Results Reported on. a Dry Weight Basis
Results Reported as mgfkg (ppm)
Surrogate
Sample ID Diesel Extended (% Recovery
Laboratory ID (CIO -C36) (Limit 48-168)
B-1-6-112414
412119.01
390 94
Method Blank <50 108
04-2448 MB
OIL TANK DECOMMISSIONING CERTIFICATE
RE: DECOMMISSION UNDERGROUND HEATING
OIL STORAGE TANK AT- 23117 76" Ave W,
Edmonds, Washington
Diane M Kamacho
P.O. Box 77738
Seattle, WA 98177
206-5 10-9497
(," ) Cinrtne� Studios