FIR2023-0067_Applicant_Response_7.13.2023_8.47.53_AM_3662982CITY OF EDMONDS MyBuildingPermit.com
Land Use Application #1345743 - Ernst
Applicant
First Name Last Name Company Name
Kelly Mackay LEFT COAST SERVICES LLC
Number Street Apartment or Suite Number E-mail Address
126 SW 148th St Suite C100 Box 4 uai—kwm@yahoo.com
City State Zip Phone Number Extension
Burien WA 98166 (206) 762-7500
Contractor
Company Name
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
702 7TH AVE S
City Zip Code County Parcel Number
EDMONDS 98020 27032500204900
Associated Building Permit Number Tenant Name
Ernst
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Robert Ernst
Number Street Apartment or Suite Number
702 7TH AVE S
City State Zip
EDMONDS WA 98020-4012
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: 7/12/2023 Submitted By: Kelly Mackay
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CITY OF EDMONDS MyBuildingPermit.com
Land Use Application #1345743 - Ernst
Project Contact
Company Name: LEFT COAST SERVICES LLC
Name: Kelly Mackay Email: uai_kwm@yahoo.com
Address: 126 SW 148th St Suite C100 Box 4 Phone #: (206) 762-7500
Burien WA 98166
Project Type Activity Type Scope of Work
New Critical Areas Critical Areas Review
Project Name: Ernst
Description of Work: Decommission 300 gallon Residential Underground Heating Oil Tank in place by
Foam Fill.
Project Details
Critical Area Information
None
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