FIR2022-0049_Application_5.4.2022_10.21.04_AM_2846274CITY OF EDMONDS M BuildingPermit.com
Fire Application #1136799 - UST Removal
Applicant
First Name Last Name Company Name
Diane Kamacho Dianes Tank Removal Services LLC
Number Street Apartment or Suite Number E-mail Address
18720 Sound View PI dianestank@hotmail.com
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 510-9497
Contractor
Company Name
DIANE'S TANK REMOVAL SRVCS LLC
Number Street Apartment or Suite Number
18720 Sound View PI
City State Zip Phone Number Extension
Edmonds WA 98020 (206) 510-9497
State License Number License Expiration Date UBI # E-mail Address
Dianetr906lm 6/26/2022 Rningggis dianestank@hotmail.com
Project Location
Number Street Floor Number Suite or Room Number
22421 98TH AVE W
City Zip Code County Parcel Number
EDMONDS 98020 00450701200006
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
Deborah Petersen
Number Street Apartment or Suite Number
22421 98TH AVE W
City State Zip
EDMONDS WA 98020
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: 5/4/2022 Submitted By: Diane Kamacho
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CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1136799 - UST Removal
Project Contact
Company Name: LDia es Tank Removal Services
Name: Diane Kamacho Email: dianestank@hotmail.com
Address: 18720 Sound View PI Phone #: (206) 510-9497
Edmonds WA 98020
Project Type Activity Type Scope of Work
Single Family Residential Decommission Underground Storage Tank Removal
Project Name: UST Removal
Description of Work: Removal of one 300 gallon heating oil UST, located on south side of driveway, 4ft
west of SW garage corner.
Project Details
Storage Tank Size
Tank Size
Type of Work
Tank Removal
300
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