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FIR2023-0090_Site_Plan_9.13.2023_11.27.23_AM_3780455I'QAV� BUILDING PERMIT APPLICATION Development Services Building Division 121 5th Ave N / Edmonds, WA 98020 425.771.0220 For handouts, submittal requirements, permit status and inspection scheduling information go to: litto://www.edmondswa.Lov/ JOB SITE INFORMATION/LOCATION: (Where the work Is taking place) Job Site Address: 8326 196th St SW Edmonds, WA 98026 Parcel: 0055870000100 Lot /Unit/Suite #: Subdivision: PROPERTY OWNER: Name: Barbara & Daniel Bradv LLC Mailing Address: 8326 196th St SW City/State/Zip: Edmonds, WA 98026 Phone #: 713-830-9432- Steve Eppstien Email: steyeneppy(E%yahoo.com OWNER INSTALLATION: *If yes, read and sign* Will work be performed by the property owner? ❑ Yes IX No I own, reside in, or will reside in the completed structure. This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange according to RCW 18.27.090. Owner Signature: ___ APPLICANT / CONTACT INFORMATION: Name of Applicant: Fllco Company, Inc. Mailing Address: PO BOX 31228 City/State/Zip: Seattle. WA 98103 Phone #: 206-547-8347 E-man: info(cD_filcoinviro.com GENERAL CONTRACTOR: (If different from applicant) General Contractor: Filco Company, Inc. Mailing Address: PO BOX 31228 City/State/Zip: Seattle, WA 98103 _ Phone #: 206-547-8347 E-mail: info(ab_filcoenviro.com WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE: 601 276 033 12/31 /2023 CITY OF EDMONDS BUSINESS LICENSE #: NR-022028 Permit0: 1 TYPE OF ❑ Accessory Structure/ Detached Garage ❑ Addition ❑ Demolition (Mechanical ❑ New Single Family / Duplex ❑ Plumbing ❑ Fire Sprinkler ❑ Remodel ❑ New Commercial/ Mixed Use ❑ Re -Roof ❑ Tank ❑ Signs ❑ Tenant Improvement ❑ Other Remodel Permit fees are based on: The value of the work performed. Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the work indicated on this application. Valuation: PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION Basement sq ft: Finished ❑ Unfinished ❑ 1st Floor, sq ft: 2nd Floor, sq ft: Garage/Carport:, sq ft: Deck/Covered Porch/Patio: Other sq ft: PROJECTDESCRIPTION Pump out triple rinse and fill with foam one 300 gallon Commercial underground heating oil tank. Cut vent and fill tube below grade cap and seal. I certify that the information I have provided on this Form/application Is true, correct and complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Edmonds. Print Name: Melinda Hess Signature: _ �te9/12/2023 FILCO COMPANY INC. PO BOX 31228 SEATfLE, WA 98103 LICENSE#FILCOCI080RU EXP: 12/31/2023 ICC LICENSE # 5050940 SITE PLAN HEATING OIL TANK DECOMMISSIONING JOB SITE: 8326 196th St SW Edmonds, WA 98026 OWNER: Barbara & Daniel Brady LLC PHONE: 716-830-9432 -Steve Eppstien ACTIVITY: Pump out and triple rinse and fill in place with foam one 300 gallon Commercial underground heating oil tank. Cut vent and fill tube below grade cap and seal. c� 8326 — House/Buildin O L----------- 196 "'St SW