Building PermitPermit
PERMIT NU
City of Edmonds
EdmondsMPWTANK
98020 FIR2021-00)34
www.edmondswa.gov
Type: FIRE TANK Owner/ Business: VICKI BLOOM Status: ISSUED
Subtype: TANK - RESIDENTIAL
Parcel No: 27032500205200 Site Address: 625 6TH AVE S EDMONDS,WA 98020-4007
Applied: 4/15/2021
Subdivision: SP S-16-85 Lot: 0
Issued: 4/15/2021
Fire Sprinklers: Lot Area: Zoning:
Final:
Valuation: $0.00 Occupancy Type: Construction Type:
Expiration Date: 4/10/2022
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Issued by: NED
Scope of Work: FIRE TANK- DECOMMISSION IN PLACE
WA State Contractor L & I #: CASCAWT862C8 City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
VICKI BLOOM
18527 28TH AVE NE, LAKE
(206)683-3599
CASCADEWEST@OUTLOOK.COM
FOREST PARK WA 98155
CONTACT
CASCADE WEST TANK
18527 28TH AVE NE, LAKE
(206)683-3599
cascadewest@outlook.com
SERVICES
FOREST PARK WA 98155
CONTRACTOR
CASCADE WEST TANK
18527 28TH AVE NE, LK FOREST
(206)946-6910
cascadewest@outlook.com
SERVICES
PARK WA 98155
OWNER
ZACHARY D & TERRA R
625 6TH AVE S, EDMONDS WA
(425)772-6323
MANG U M
98020-4007
•' •
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
4/15/21
R11688
PER PERMIT
TANK - RESIDENTIAL - FIRE INSP FEE
001.000.342.40.000.00
$150.00
$150.00
4/15/21
R11688
TANK - RESIDENTIAL FILL, REMOVE
001.000.322.10.000.00
$50.00
$50.00
4/15/21
R11688
OR INSTALL - BLDG FEE
TOTALS: $240.00 $240.00
CONDITIONS
CONDITION TYPE STATUS NOTES
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City of Edmonds PERMIT NU
. ••011 3344
-. •. •
1&1
1- HOLD HARMLESS - Applicant on behalf of his or her spouse heirs assigns and successors
in interests, agrees to indemnify defend and hold harmless the City of Edmonds,
Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance of this permit. Issuance
of this permit 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 enforce any ordinance provision. 2
- PERMIT DISCLOSURE - Any request for alternate design, modification, variance or other
administrative deviation from adopted codes ordinances or policies must be specifically
requested in writing and be called out and identified. Processing fees for such requests
shall be established by Council and shall be paid upon submittal and are nonrefundable.
3- SOUND OR NOISE - Sound/Noise originating from temporary construction sites as a
ALL BUILDING PERMITS
FOR
result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only
INFORMATION
during the hours of 7:00am to 6:00pm on weekdays and 10:00am to 6:00pm on
Saturdays, excluding Sundays and Federal Holidays. At all other times the noise
originating from construction sites/activities must comply with the noise limits of
Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. 4 -
OCCUPANCY - Final approval on a project or final occupancy approval must be granted by
the Building Official prior to use or occupancy of the building or structure. Check the job
card for all required City inspections including final project approval and final occupancy
inspections. 5 - PLUMBING - Plumbing contractor license laws are regulated by Chapter
18.106 RCW. Property owners who hire an unlicensed plumber may assume the risks and
potential monetary liability for work performed by unlicensed plumbing contractors. For
more information contact L&I Department of Licensing at 1-800-647-0982.
TANK DECOMMISSIONING
FOR
FIRE MARSHAL MUST BE PRESENT FOR TANK WORK (FILL, REMOVAL OR CAP).
NFORMATION
TANK INSPECTION
FOR
Fire Marshal must be present for tank work (fill, removal, or cap).
NFORMATION
INSPECTIONS - Schedule Online
at: https://Inspection.MVBuildingPermit.com
COMPLETED RESULT
SEQID INSPECTION TYPE INSPECTOR
NOTES
DATE
X-1 FIRE FINAL**
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