FIR2023-0025+Application+3.22.2023_11.58.02_AM+3436499CITY OF EDMONDS nnysuilaingPermit.com
Fire Application #1287019 - Swedberg
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
LEFT COAST SERVICES LLC
Number Street Apartment or Suite Number
126 SW 148TH ST STE C100 BOX 4
City State Zip Phone Number Extension
BURIEN WA 98166 (206)762-7500
State License Number License Expiration Date UBI # E-mail Address
LEFTCCS829QB 11/3/2024 604267785 uai kwm@yahoo.com
Project Location
Number Street Floor Number Suite or Room Number
24032 79TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00511600000600
Associated Building Permit Number Tenant Name
app:1286220
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Trevor J & Sheena M Swedberq
Number Street Apartment or Suite Number
24032 79TH PL W
City State Zip
EDMONDS WA 98026
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: 3/22/2023 Submitted By: Kelly Mackay
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1287019 - Swedberg
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
Single Family Residential Decommission Other
Project Name: Swedberg
Description of Work: Installation of 300 gallon Underground Residential Heating Oil Tank.
Project Details
Storage Tank Work
Date of Decommissioning 4/28/2023
Tank Decommission
Contact Information
Owner Email Address uai_kwm@yahoo.com
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