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FIR2021-0076+Application+7.21.2021_10.34.51_AM+2312937CITY OF EDMONDS MyBuildingPermit.com Fire Application #994328 - Paradise Tank Removal Applicant First Name Last Name Company Name Robin Michel Michel Desiqn Number Street Apartment or Suite Number E-mail Address 7305 Soundview Drive rwmichel1(abme.com City State Zip Phone Number Extension Edmonds WA 98026 2069302445 Contractor Company Name Regent Construction Inc Number Street Apartment or Suite Number 7305 Soundview Dr City State Zip Phone Number Extension EDMONDS WA 98026 8324233879 State License Number License Expiration Date UBI # E-mail Address REGENC1891 K5 5/25/2023 603055500 rwmichel1(a-me.com Project Location Number Street 546 PARADISE LN City Zip Code EDMONDS 98020 Associated Building Permit Number BLD2019-0026 Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name County Parcel Number 27032500302600 Tenant Name Last Name or Company Name PARADISE HEIGHTS HLD LLC Floor Number Suite or Room Number Number Street Apartment or Suite Number 190 W DAYTON ST 103 City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: 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. 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: 7/21/2021 Submitted By: Robin Michel Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Fire Application #994328 - Paradise Tank Removal Project Contact Company Name: Michel Design Name: Robin Michel Email: rwmichell@me.com Address: 7305 Soundview Drive Phone #: 2069302445 Edmonds WA 98026 Project Type Activity Type Single Family Residential Decommission Project Name: Paradise Tank Removal Description of Work: Remove underground fuel tank Project Details Type of Work Tank Removal Scope of Work Underground Storage Tank Removal Page 2 of 2