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BLD20110552.pdfL� OF E MO�� CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 Inc. 189 STATUS: ISSUED 7/19/2011 Expiration Date: 1/19/2012 Parcel No: 00582000401001 STEPHEN WAITE FILCO CO INC FILCO CO INC I I I ELM PO BOX 31228 PO BOX 31228 EDMONDS, WA 98020 SEATTLE, WA 98103- SEATTLE, WA 98103- (425) 774-1331 EXT: (206) 547-8347 EXT: (206) 547-8347 EXT: LICENSE #: FILCOCIO80RU EXP:10/10/201 1 PUMP, CLEAN AND FILL 300 GAL UST VALUATION: $0.00 PERMIT TYPE: Residential PERMIT GROUP: 70 - Tanks/Fuel GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: N OCCUPANT GROUP: OCCUPANT LOAD: FENCE: N ( 0 X 0 FT.) CODE: 09 OTHER: N ----- OTHER DESC: ZONE: NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 FRONTSETBACK SIDE' SE.TBACK' REAR SETBACK RE UIRED: PROPOSED: REQUIRED: PROPOSED: RE UIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED: SETBACK NOTES: 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. IS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY,),ND AL FEES ARE PAID. 7 l Signatw Ce Print Name f Date Released EVy I Date ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 109/ IBC 110/ IRC 110. = ONLINE = APPLICANT = ASSESSOR OTHER STATUS: ISSUED BLD20110552 • Fire Marshal must be present for tank work (fill, removal, or cap.) • Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of the building or structure. Check the job card for all required City inspections including final project approval and final occupancy inspections. • Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable. • Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been specifically identified, requested 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 from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. • Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City """"s ability to enforce any ordinance provision. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6) BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 PUBLIC WORKS 425) 771-0235 PRE-TREATMENT 425) 672-5755 RECYCLING 425) 275-4801 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection beine reauested. Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon. F -Tank Inspection 0 E to) M Inspection Comments O BLD20110552 70 - Tanks/Fuel Applied: 07/19/2011 Issued: 07/19/2011 Expires: 01/19/2012 enc. 1 R9� Address: 111 ELM ST, EDMONDS 1INSPECTION _ DATE INSPECTOR ACTION; 1960 - F -Tank Inspection _ 07/21/2011 SMITHM CMP Comment: APPROVED 2 12/19/2011 2:19:11 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1 Filco Company Inc. PO Box 31228 Seattle WA 98103 206-547-8347 Lic. # FILCOCI080RU EXP. 10/10/ x,011 IFCI License # 14351 5 -7— U.X City License # NR, jOIHF"_55* JOB, SITE ADDRESS: OWNER STB d c IOAI e, - ACTIVITY: (Pump-CIean and Fill) pbaM A-11 Pump .& clean one 300 gallon underground oil.tank. Fill with Structural Polyurethane Foam. Cut off or remove vent and filler pipes and cap them.permanently below grade. ,(Removal) Pump out one gallon underground oil tank. Excavate andremove the oil tank then back fill the hole and dispose of tank in proper manner. —1 I pip t T'b SUNT tdot O roLt e•r�/ l -7"T-o The r WesWa (I O F - A e ry;Ca,c-Rr�o fie- � H J U�� P(oVSe 1154 D1� � p , N Ave S. 0