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1123 9th Ave S- Inspection4 9 oil LVA I :r_- I do M=S33mal> P.O. Box 31228 • Seattle, WA 98103 o Ph: (206) 547-8347 • Fax: (206) 548-9352 www.filcoenviro.com - Lic# FILCOCIO80RU TRIPLE RINSE CERTIFICATION January 2"d, 2025 SITE ADDRESS: 1123 9th Avenue South Edmonds, Washington 98020 This is to certify that Filco Company Inc. has pumped out and triple rinsed one approximate 500 gallon underground heating oil tank at the above named property. All product and rinsate will be or was disposed of or recycled at an approved facility. Filco Company, Inc. / b0 • P.O. Box 31228 Seattle, WA 98103 Ph: (206) 547-8347 Fax: (206) 548-9352 www.filcoenviro.com • Lic# FILCOCIO80RU LETTER OF CERTIFICATION January 2nd, 2025 A -List Plumbing 19505 241h Avenue West Lynnwood, Washington 98036 RE: Residential Underground Heating Oil Tank at 1123 9th Avenue South Edmonds, Washington 98020 This is to certify that Filco Company, Inc. has pumped, triple rinsed, and filled with polyurethane structural foam, one 500 gallon underground residential heating oil tank from the above named property. All work was done, and contents were disposed of according to the codes and guidelines set forth by the Washington State Department of Ecology and local Fire Department regulations and the decommissioned tank meet these standards. Phil Suetens President Filco Company, Inc. Type: FIRE TANK Subtype: TANK - RESIDENTIAL Parcel No: 27032500111100 Site Address: 1123 9TH AVE S EDMONDS,WA 98020-3963 Subdivision: SP S-14-82, 006370, KELLOGG SUPPLEMENTAL PLAT OF EDMONDS Lot: 0 Fire Sprinklers: Lot Area: Zoning: Valuation: $0.00 Occupancy Type: Construction Type: Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0 Scope of Work: FIRE TANK -DECOMMISSION, FILL IN PLACE Status: ISSUED Applied: 12/24/2024 Issued:12/30/2024 Final: Expiration Date: 12/30/2026 Issued by: NED I WA State Contractor L & I #: FILCOCIO80RU I CONTACTS NAME TYPE NAME ADDRESS PHONE EMAIL APPLICANT MELINDA HESS PO BOX 31228, SEATTLE WA (206)547-8347 INFO@FILCOENVIRO.COM 98103 CONTACT FILCO COMPANY, INC. PO BOX 31228, SEATTLE WA99103 (206)547-8347 info@filcaenviro.com CONTRACTOR FILCO COMPANY INC PO BOX 31228, SEATTLE WA (206)547-8347 INFO@FILCOENVIRO.COM 98103 LAURENCE & MONTEREY 9TH AVE S, EDMONDS WA OWNER ROBERTSON 98020-3963 FEE INFORMATION DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT # CITY TECHNOLOGY FEE - PER 001.000.321.99.100.00 $45.00 $45.00 12/30/24 R42233 PERMIT TANK - RES FILL REMOVE OR 001.000.342.40.000.00 $252.00 $252.00 12/30/24 R42233 INSTALL - EACH TOTALS: $297.00 $297.00 CONDITIONS INSPECTIONS - Schedule Online at https://inspection.mybuildingpermit.com INSPECTIONTYPE INSPECTOR COMPLETED RESULT I NOTES X-1 FIRE FINAL" Printed: Monday, December 30, 2024 12:25:49 PM 1 of 1 FILCO COMPANY INC. PO BOX 31228 SEATTLE, WA 98103 LICENSE# FI LCOCIO80RU EXP: 12/31/2025 ICC LICENSE # 5050940 SITE PLAN HEATING OIL TANK DECOMMISSIONING JOB SITE: 1123 9th Ave S Edmonds, WA 98020 OWNER: Laurance & Monteray Robertson PHONE: 805-403-2710 -Heath Shockman ACTIVITY: Pump out triple rinse and fill in place with foam one 500 gallon underground heating oil tank. O 9t" Ave S Edmonds WA 9 020 0 �„ UST Decommissioning ■n INTERNATIONAL CODE COUNCIL" Candidate ID: #####5223 Name: Kelly Campbell Address: PO BOX 31228 SEATTLE WA 98103-1228 Date: EXAMINATION RESULT: PASS 12/5/2022 Congratulations! You have passed this examination. Generally, [CC certificates are current for two years; check with your state for expiration periods in your state. We've simplified your experience in receiving your wall certificate. The Code Council has added a Print. -on -demand option for you to print your own certificate in your home or office. This comes at no additional cost to you. When you are logged into myICC, click on the "My Certificates" tab. Under "My Certificates" you will find an "Action" column that gives you the option to print your certificate. Need to update your name or address on file? Log in to your myICC account at my.iccsafe.org to update your profile. If you have any questions, call or email us at the International Code Council at 888-422-7233 ext. 5524 or askac@iccsafe.org. The Code Council reserves the right to amend or withhold any examination scores if, in its sole opinion, there is adequate reason to question their validity. Thank you for your support to public safety! The authenticity of this score report can be validated by using Pearson VUE's Online Score Report Authentication found at: www.Pg!.g-$QnAU.E.cg-al/a,uthenticat Digital embossing eliminates the possibility of unauthorized embossing of counterfeit score reports. Registration Number. 436646937 Validation Number: 387437607