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FIR2022-0080_Application_8.15.2022_2.15.40_PM_3051402CITY OF EDMONDS M BuildingPermit.com Fire Application #1187966 - Garrard- Foam fill decommission Applicant First Name Last Name Company Name MELINDA HESS Filco Company, Inc. Number Street Apartment or Suite Number E-mail Address PO Box 31228 info@filcoenviro.com City State Zip Phone Number Extension Seattle WA 98103 (206) 547-8347 Contractor Company Name FILCO COMPANY INC Number Street Apartment or Suite Number PO Box 31228 City State Zip Phone Number Extension Seattle WA 98103 (206) 547-8347 State License Number License Expiration Date UBI # E-mail Address FILCOCIO80RU 10/10/2023 FD197FD33 info@filcoenviro.com Project Location Number Street Floor Number Suite or Room Number 20228 87TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00572400001100 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 Thomas Garrard Number Street Apartment or Suite Number 20228 87TH AVE W City State Zip EDMONDS WA 98026-6618 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: 8/15/2022 Submitted By: MELINDA HESS Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1187966 - Garrard- Foam fill decommission Project Contact Company Name: Filco Company, Inc. Name: MELINDA HESS Email: info@filcoenviro.com Address: PO Box 31228 Phone #: (206) 547-8347 Seattle WA 98103 Project Type Activity Type Scope of Work Single Family Residential Decommission Other Project Name: Garrard- Foam fill decommission Description of Work: Pump out triple rinse and fill this foam one 300 gallon underground oil tank. Project Details Storage Tank Work Date of Decommissioning 8/31/2022 Tank Decommission Contact Information Owner Email Address garrardt@hotmail.com Page 2 of 2