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FIR2021-0078+Application+7.23.2021_9.15.51_AM+2317947CITY OF EDMONDS MyBuilaingPermit.coin Fire Application #995445 - Matthew Hart- oil tank removal Applicant First Name Last Name Company Name MELINDA HESS Filco Company, Inc. Number Street Apartment or Suite Number E-mail Address PO Box 31228 City State Zip Seattle WA 98103 Contractor Company Name FILCO COMPANY INC Number Street PO Box 31228 City State Zip Seattle WA 98103 State License Number License Expiration Date FI LCOC IO80RU 10/10/2021 Project Location Number Street 22050 99TH PL W City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner info(.@_filcoenviro.com Phone Number Extension 2065478347 Apartment or Suite Number Phone Number Extension (206) 547-8347 UBI # E-mail Address 601276033 i nfo(a)_fi I coenvi ro. corn County Parcel Number 00602100100700 Tenant Name Floor Number Suite or Room Number First Name Last Name or Company Name Delores Marvonek Number Street Apartment or Suite Number 5327 101 ST ST SW City State Zip MUKILTEO WA 98275-4307 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: 7/23/2021 Submitted By: MELINDA HESS Page 1 of 2 i o CITY OF EDMONDS MyBuildingPerrnit.cm „c Fire Application #995445 - Matthew Hart- oil tank removal Project Contact Company Name: Filco Company, Inc. Name: MELINDA HESS Email: info@filcoenviro.com Address: PO Box 31228 Phone #: 2065478347 Seattle WA 98103 Project Type Activity Type Scope of Work Single Family Residential Decommission Other Project Name: Matthew Hart- oil tank removal Description of Work: Pump out triple rinse excavate and remove one 300 gallon residential heating oil tank. Haul tank away and properly dispose of tank. Project Details Storage Tank Work Tank Decommission Page 2 of 2