FIR2023-0088+Application+9.7.2023_8.39.50_AM+3768507CITY OF EDMONDS
Fire Application #1372682 - Elven
Applicant
First Name
Last Name
Kelly
Mackay
Number
Street
126
SW 148th St
City
State
Zip
Burien
WA
98166
Contractor
Company Name
LEFT COAST SERVICES LLC
Number
Street
126 SW 148TH ST STE C100 BOX 4
City
State Zip
BURIEN
WA 98166
MyBuildingPermit.com
Company Name
LEFT COAST SERVICES LLC
Apartment or Suite Number E-mail Address
Suite C100 Box 4 uai kwm(�D_yahoo.com
Phone Number Extension
(206) 762-7500
State License Number License Expiration Date UBI #
LEFTCCS829QB 11/3/2024 604267785
Project Location
Apartment or Suite Number
Phone Number Extension
(206) 762-7500
E-mail Address
uai kwm@yahoo.com
Number Street Floor Number Suite or Room Number
8124 213TH ST SW
City Zip Code County Parcel Number
EDMONDS 98026 00573200000900
Associated Building Permit Number Tenant Name
FI R2023-0087
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Charles N Elven
Number Street Apartment or Suite Number
8124 213TH ST SW
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: 9/7/2023 Submitted By: Kelly Mackay
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Fire Application #1372682 - Elven
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 Underground Storage Tank Removal
Project Name: Elven
Description of Work: INSTALLATION of a 300 gallon residential underground heating oil tank.
Project Details
Storage Tank Size
Tank Size
Type of Work
Other
Contact Information
Owner Email Address
300
accou nti ng@ leftcoast. services
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