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DECO BID / TANK LOCATE SOIL SAMPLES <br /> RESIDENIiAL RECORDS FOUND? N 0 RUSH <br /> COMMERCIAL _ CURRENT HEAT SOURCE UTILITIES LOCATE DONE? <br /> CUSTOMER NAME Z"\c VA& - 1 0, V\ DATE VZ j 11 7,7 <br /> HOMEOWNER OR BUYER? AV <br /> SITE ADDRESS "] TU01 1 f_ CITY E\ke 1_t� ZIP CA9 <br /> 30-MIN HEADS UP? PHONE LI 2.5-491 D !g S LO <br /> EMAILJAJ1V-1� • e-z en <br /> FILL TYP STANDARD/ REMOVAL? Y/ N MACHINE ACCESSCj N <br /> NOTES: ly <br /> FILL GRADE�� FILL PIPE tia DIAMETER 'A} TOTAL ?I TANK SIZE S5�_ CONTENTS <br /> GROUND COVER POWER ON'�Y N WATER ON-/N NEEDS NO PARK SIGNS?Y/N <br /> TANK LOCATION Wilt S kOt v VOL) <br /> SERVICE REQUESTED: FILL /REMOVAL PLIA COVERAGE FOR REMOVALS: <br /> ANY OTHER IMORTANT NOTES ABOUT THE SITE: <br /> i � .. <br /> EVE-RETT EVEFETT <br /> .,...,...o, r <br /> ` Everett Fire Dept.Permit Review <br /> Status:Approved <br /> .� Reviewed By:KBrown <br /> 03/11/2024 11:54:52 <br /> TANK AM <br /> Permit#: TANK2403-001 <br /> Site Address: 3415 Tulalip Ave <br /> Applicant: Tanks By Dallas <br /> Application Date: 03/08/2024 <br /> —� Description: Fill in Place <br /> BID COMPLETED BY: Review Date: 03/11/2024 <br /> SITE INFO TAKER BY.a f(S(A SITE VISIT SCHEDULED FOR <br /> -*3W, )0 C)Y) YOL) Y_ wCy <br /> 3D-MIN HEADS UP? PHONE L4 ZS-- '577 Q- <br /> �� "` <br />