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FIR2024-0037_Application_5.1.2024_2.07.31_PM_4231084CITY OF EDMONDS M BuildingPermit.com Fire Application #1482069 - Klein -foam fill decommission Applicant First Name Last Name Company Name MELINDA HESS Filco Company, Inc. Number Street Apartment or Suite Number E-mail Address PO Box 31228 info@filcoenviro.com City State Zip Phone Number Extension Seattle WA 98103 (206) 547-8347 Contractor Company Name FILCO COMPANY INC Number Street Apartment or Suite Number PO Box 31228 City State Zip Phone Number Extension Seattle WA 98103 (206) 547-8347 State License Number License Expiration Date UBI # E-mail Address FILCOCIO80RU 10/10/2025 FD197FD33 info@filcoenviro.com Project Location Number Street Floor Number Suite or Room Number 18102 88TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00418800001600 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Ryan & Anya Klein Number Street Apartment or Suite Number 18102 88TH AVE 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: 5/1/2024 Submitted By: MELINDA HESS Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1482069 - Klein -foam fill decommission Project Contact Company Name: Filco Company, Inc. Name: MELINDA HESS Email: info@filcoenviro.com Address: PO Box 31228 Phone #: (206) 547-8347 Seattle WA 98103 Project Type Activity Type Scope of Work Single Family Residential Decommission Other Project Name: Klein -foam fill decommission Description of Work: Pump out triple rinse and fill with foam one 300 gallon underground oil tank Project Details Storage Tank Work Date of Decommissioning 6/10/2024 Tank Decommission Contact Information Owner Email Address rpk213@gmail.com Page 2 of 2