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FIR2024-0060_Application_7.18.2024_1.30.48_PM_4387247CITY OF EDMONDS M BuildingPermit.com Fire Application #1520076 - James West- Decommission foam fill Applicant First Name Last Name MELINDA HESS Company Name Filco Company, Inc. Number Street PO Box 31228 Apartment or Suite Number E-mail Address info@filcoenviro.com City State Zip Seattle WA 98103 Phone Number Extension (206) 547-8347 Contractor Company Name FILCO COMPANY INC Number Street PO Box 31228 Apartment or Suite Number City State Zip Seattle WA 98103 Phone Number Extension (206) 547-8347 State License Number License Expiration Date FILCOCIO80RU 10/10/2025 UBI # E-mail Address FD197FD33 info@filcoenviro.com Project Location Number Street 19803 81ST PL W Floor Number Suite or Room Number 1 none City Zip Code EDMONDS 98026 County Parcel Number 00603400000900 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 James C & Heather L Rust Number Street 19803 81ST PL W Apartment or Suite Number City State EDMONDS WA Zip 98026-6410 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: 7/18/2024 Submitted By: MELINDA HESS Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1520076 - James West- Decommission foam fill 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 Mixed Use Activity Type Decommission Scope of Work Other Project Name: James West- Decommission foam fill Description of Work: Pump out triple rinse and fill with foam one 300 gallon underground heating oil tank. Project Details Storage Tank Work Date of Decommissioning Tank Decommission Storage Tank Size Tank Size Contact Information Owner Email Address 8/9/2024 300 james@tri_countcabulance.com Page 2 of 2