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THIS PERMIT TO BE DISPLAYED AS REQUIRED <br /> SIT 0,4& <br /> 0 • <br /> e;177-X:''4i'k <br /> ANACORTES FIRE DEPARTMENT <br /> Col& r" <br /> SPECIAL PURPOSE PERMIT <br /> In accordance with the International Fire Code, Chapter 1, Section 105, and the provisions of <br /> the Fire Prevention Ordinance adopted by the City of Anacortes, Washington, this permit is hereby granted <br /> for REMOVAL/DECOMMISSION OF 500 GALLON UNDERGROUND HEATING OIL TANK <br /> LOCATION CONDUCTED BY <br /> Address 1911 24th Street Company Name Ultra Tank Services—Tom Pulver <br /> Telephone 360-815-5361 <br /> Telephone 360-770-9302 Business Address PO Box 30096, Bellingham. WA 98228 <br /> Owner JoAnn Ryan Contractor License: ULTRATS033 CK <br /> CONDITIONS/RESTRICTIONS 1) Perform locate. 2) Expose tank, 3) Inert after empty. 4) Meter for inert status and document. <br /> 5) Contact Fire Marshal Jack Kennedy 661-3437 6) Photo site, post removal and file with Buildinq Department. 7) Provide soil sample report if <br /> indicated. <br /> This permit is issued on the conditioneQmpliance with all Fire Codes and Ordinances as adopted and any conditions listed above. <br /> Signature of Requstor Signature of Fire Officer --- ' <br /> Issue Date March 10, 2015 <br /> Expiration Date March 31,2015 <br />