BLD20061090.pdf�1
Cif OF hYMO�N
CITY OF EDMONDS
121 5TH AVENUE NORTH'
EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Inc. I g9�
STATUS: ISSUED 9/282006 „ , P.ermit,# BLp2Q
Parcel No:00914260000900
ROLFTRAUTMANN
ROLFTRAUTMANN
PACKARD LANDSCAPE & EXCAVATIONS
15130 MAIN ST SUITE 300
15130 MAIN ST SUITE 300
1318 37TH ST #3532
JASON LINKLATER
MILL CREEK, WA 98012
MILL CREEK, WA 98012
EVERETT, WA 98201
206-285.8010
425-530-0784
425-327-6272
LICENSE #: PACKAL•051A EXPA124/2007
REMOVE I-500GAL HEATING OIL UST
VALUATION: $0
PERMIT TYPE: RoidcnliM
PERMIT GROUP: 70-'f Rnks/Fuel
GRADING:N CYDS:O
TYPE OF CONSTRUCTION: TANK
RETAINING WALL ROCKERY: N
OCCUPANT GROUP,U
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 2003
OTHER:N -------OTHER DESC:
ZONE:
NUMBER OF SfOR1E5: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:O
3RD FLOOR, 0 GARAGE:O DECK. 0 OTHER:0
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONST RUCT ION AND IN DOING T HE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF W ASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
T TI N ISNOT PPLICAA PERMIT UNTIL SIGNED BY THEBUIL ING FFICIAL O HIS/HER DEPUTY AND ALL FEESARE PAID.
V ATTENTION
ITIS UNLAWFUL 70 USE OR OCCUPY A BUILDING OR STRUCTURE UN71L A FINAL INSPECBON HAS BEEN MADE AND APPROVAL OR A CER71FICAIE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI Of IRCI 10.
ARCHIVE APPLICANT ASSESSOR OTHER
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STATUS: ISSUED BLD20061090
• Fire Marshal trust be present for tank work (fill, removal, or cap.)
Any request for the modification, variance or other administrative deviation (hereinafter "variance") niust be specifically called
out and identified. Approval of any plat or plan containing provisions which do not cornply with City code and for which a
variance has not been specifically identified, request and considered by the appropriate City official in accordance with the
appropriate provision of'City code or State law does not approve any items not to code specification.
• Sound/Noise originating fromtenipormy construction sites as a result of construction activity are exempt fromthe noise Writs
ofECCChapter 5.30only during the hours of7-.00amto 6:ODpmon weekdays and 10:00amand 6:00pmon Saturdays, e)cluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activites must comply with the
noise limits of'Chapter 5,30, unless a variance has been granted pursuant to ECC 5.30.120.
THIS PERMT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION 014 THE
PUBLIC DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMITTIME LINT. SEE ECDC 19.00,05(A)(6)
BUILDING (425) 771-0220 EYT. 1333 1 ENGP4EE7tING (425) 771-0220 EXE 1326 FIRE 425) 771-0215
PUBLIC WORKS 425 771-0235 PR&TREATmENT RECYCLING (425) 27548751
F-Tank Inspection �C)
Zoc(e - (CyqC)
City of Edmonds
Permit Application Form
Permit Application for: ❑ New Single Family ❑ New Com/Apt ❑ Addition
❑ Interior Remodel ❑ Garage/Carport ❑ Repair ❑ TI/Change of Use
0-Fence x ❑ Grading cvds ❑ Storage/Shed
❑ Sign ❑ Fire System (Specify)
Brief Description: YD tMr`nip C�(( ii.wyy- (2 —,-tr(e .:JP?iE" 4 -
Site Address: L-790-:5 rV 7 16C Suite #
Sno County Tax Account Parcel #:
Business/Tenant Name (ifapplicall:
PROPERTY OWNER: FQLf=n(��`
Mailing Address: 1)
City:_.61A�, 1I (�QQX State: k/// ZiP_9
Phone: (�) 2�5 (U FAX: (�) �i�1 `J q& L- E-Mail:
CONTRACTOR: ❑Same as Property Owner ff 1er (Name) Cyr it �JCQ%1i �C1CCCtIii Il�n
Mailing Address: 1 ,� � � ��52,2
City: �I ) 0 )Lf.TI State: I/1 A zip: ff,20
Phone: ( ) � pa�P, FAX: (4Z5) aw 2 0 319 E-Mail:
State License Number: Exp: Dale: City Business License No
ame as Property Owner ❑Same as Contractor they (Name) c a
Fill out the following information if "Other".
Mailing Address:
City: State: Zip:
Phone: (AZ )�T3Q 1 FAX ( ) E-Mail
L:\TEMPIBUILDING\WEBchecklists\SFR.COMM.APP.doc8/31/2006 1
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Permit Inspection Details
Permit: BLD2 061090
d-
PERMITTRAX
IF,
1960`= F Tank Inspection ra s o r ` ac " is rc ' { Complete2Yy
1
... .,
10(00 212006 SMITHM 0 APPROVEVED(NO OBVIOUSSIGNS OF�LEAKINGRANK WAS APROX. 1400 GALLON NOT
y
500 GAL.-'
iTotal
Time:
0
Total Inspections: 1 Total Time:
0
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