Building PermitType: FIRE TANK Subtype: TANK - RESIDENTIAL I Status: ISSUED
Parcel No: 00573200000900 Site Address: 8124 213TH ST SW EDMONDS,WA 98026-7453
Subdivision: 006425, 004674, 003736, 005732 Lot: 0
Fire Sprinklers: Lot Area: Zoning:
Valuation: $0.00 Occupancy Type: Construction Type:
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Scope of Work: ELVEN- FIRE TANK INSTALL (ASSOC REMOVAL PERMIT)
WA State Contractor L & I #: LEFTCCS829QB
Applied: 9/7/2023
Issued:9/22/2023
Final:
Expiration Date: 3/22/2024
Issued by: NED
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
KELLY MACKAY
126 SW 148TH ST, BURIEN WA
(206)762-7500
UAI KWM@YAHOO.COM
98166
CONTACT
LEFT COAST SERVICES LLC
126 SW 148TH ST, BURIEN WA
(206)762-7500
uai_kwm@yahoo.com
98166
—
CONTRACTOR
LEFT COAST SERVICES LLC
126 SW 148TH ST STE C100 BOX
(206)762-7500
uai_kwm@yahoo.com
4, BURIEN WA 98166
8124 213TH ST SW, EDMONDS
OWNER
CHARLES N ELVEN
WA 98026
• ' 1 111111 •
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
CITY TECHNOLOGY FEE -PER
001.000.321.99.100.00
$45.00
$45.00
9/7/23
R31191
PERMIT
FIRE - PERMIT BASE FEE
001.000.322.10.100.00
$100.00
$100.00
9/7/23
R31191
TANK - RES FILL REMOVE OR
001.000.342.40.000.00
$152.00
$152.00
9/7/23
R31191
INSTALL - EACH
TOTALS: $297.00
$297.00
CONDITIONS
INSPECTIONTYPE INSPECTOR COMPLETED RESULT
NOTES
X-1 FIRE FINAL"
Printed: Friday, September 22, 2023 8:16:45 AM 1 of 1