FIR2021-0113_Application_10.8.2021_3.25.43_PM_2453423CITY OF EDMONDS M BuildingPermit.com
Fire Application #1032247 - 715
Applicant
First Name Last Name Company Name
VICTORIA BLOOM CASCADE WEST TANK SERVICES
Number Street Apartment or Suite Number E-mail Address
18527 28 ave ne cascadewest@outlook.com
City State Zip Phone Number Extension
Seattle WA 98155 2069466910
Contractor
Company Name
CASCADE WEST TANK SERVICES
Number Street Apartment or Suite Number
18527 28TH AVE NE
City State Zip Phone Number Extension
LK FOREST PARK WA 98155 (206)6833599
State License Number License Expiration Date UBI # E-mail Address
CASCAWT862C8 8/28/2022 FD:3iR4g46 cascadewest@outlook.com
Project Location
Number Street Floor Number Suite or Room Number
715 7TH AVE N
City Zip Code County Parcel Number
EDMONDS 98020 27032400207200
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
Margaret Westbrook
Number Street Apartment or Suite Number
2614 237TH PL SW
City State Zip
BRIER WA 98036
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: 10/8/2021 Submitted By: VICTORIA BLOOM
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CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1032247 - 715
Project Contact
Company Name: CASCADE WEST TANK
SERVICES
Name: VICTORIA BLOOM Email: cascadewest@outlook.com
Address: 18527 28 ave ne Phone #: 2069466910
Seattle WA 98155
Project Type Activity Type Scope of Work
Single Family Residential Decommission Other
Project Name: 715
Description of Work: pump out contents of 1 500 gallon heating oil tank. triple rinse tank and fill with sand.
Cut all piping below grade and cap with cement
Project Details
Storage Tank Work
Date of Decommissioning 10/12/2021
Tank Decommission
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