FIR2022-0089_Application_9.6.2022_7.12.44_AM_3090410CITY OF EDMONDS M BuildingPermit.com
Fire Application #1192545 - 300 gallon tank decommission
Applicant
First Name Last Name Company Name
Paul Anderson Fuel Tank Installation Co Inc
Number Street Apartment or Suite Number E-mail Address
11536 Seola Beach Drive SW FTICompanylnc@gmail.com
City State Zip Phone Number Extension
Seattle WA 98146 (206) 244-8020
Contractor
Company Name
Fuel Tank Installation Co Inc
Number Street Apartment or Suite Number
11536 Seola Beach Drive SW
City State Zip Phone Number Extension
Seattle WA 98146 2062448020
State License Number License Expiration Date UBI # E-mail Address
FUELTIC080138 6/22/2024 FD1 1 R61 W FTICompanylnc@gmail.com
Project Location
Number Street Floor Number Suite or Room Number
10023 242ND PL SW
City Zip Code County Parcel Number
EDMONDS 98020 00554900001500
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
Carrianne Dockter
Number Street Apartment or Suite Number
10023 242ND PL SW
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: 9/6/2022 Submitted By: Paul Anderson
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CITY OF EDMONDS MyBuildingPermit.com
Fire Application #1192545 - 300 gallon tank decommission
Project Contact
Company Name: Fuel Tank Installation Co Inc
Name: Paul Anderson Email: FTICompanylnc@gmail.com
Address: S1536 Seola Beach Drive Phone #: (206) 244-8020
Seattle WA 98146
Project Type
Single Family Residential
Activity Type
Decommission
Scope of Work
Other
Project Name: 300 gallon tank decommission
Description of Work: 300 gallon underground heating oil tank decommission in place. remove tank contents,
clean triple rinse tank, fill tank remove fill pipe cap all piping
Project Details
Storage Tank Work
Date of Decommissioning
Tank Decommission
Contact Information
Owner Email Address
9/16/2022
CLdockter@yahoo.com
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