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FIR2024-0082_Application_9.12.2024_1.57.08_PM_4497052CITY OF EDMONDS M BuildingPermit.com Fire Application #1546595 - Bryant-Feaset Tank Decomission Applicant First Name Last Name Company Name William Bryant Number Street Apartment or Suite Number E-mail Address 1041 B Ave S Bill.Bryant@bryantchristie.com City State Zip Phone Number Extension Edmonds WA 98020 (206) 747-3701 Contractor Company Name LEWIS CONSTRUCTION GROUP LLC Number Street Apartment or Suite Number PO BOX 248 City State Zip Phone Number Extension EDMONDS WA 98020 (425) 678-8550 State License Number License Expiration Date UBI # E-mail Address LEWISCG873B5 2/11/2025 Fw711ns4 jay@lewiscg.com Project Location Number Street Floor Number Suite or Room Number 1041 B AVE City Zip Code County Parcel Number EDMONDS 98020 00619400300702 Associated Building Permit Number Tenant Name BLD2024-0323 Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name William L & Feasey Barbara Bryant Number Street Apartment or Suite Number 1041 B AVE S City State Zip EDMONDS WA 98020 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: 9/12/2024 Submitted By: William Bryant Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Fire Application #1546595 - Bryant-Feaset Tank Decomission Project Contact Company Name: Designs Northwest Architects Name: Matt Radach Email: matt@designsnw.com Address: 26915 102nd Drive NW Suite 201 Phone #: (360) 629-3441 Stanwood Washington 98292 Project Type Single Family Residential Activity Type Decommission Project Name: Bryant-Feaset Tank Decomission Description of Work: Clean Fill and cap existing fuel tank. Project Details Storage Tank Work Date of Decommissioning Tank Decommission Contact Information Owner Email Address 9/30/2024 Scope of Work Other Bill.Bryant@bryantchristie.com Page 2 of 2