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Home My WebLink About16900 51st Ave NE_BLD5443_2026 OPERATING PERMIT APPLICATION Community&Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 •Phone(360) 403-3551 Part I Property Address for which Operating Permit is requested: 16900 51 st Ave NE, Arlington WA 98223 Parcel ID No.: 31052800100300 Current Occupancy0ccupied Project Description: Set a 500g above ground LPG tank with dispenser for filling cylinders Applicant Name: Joe Girard Home No.: 360.635.2287 Email Address: joegirard@ferrellgas.com Cell No.: 360.635.2287 Mailing Address: 3611 A ST SE City: Auburn State: WA Zip: 98002 Contact Person: Joe Girard Phone No.: 360.635.2287 Part II Type of Operating Permit An Operating Permit is required to conduct any activity or to use any class of building listed below. Please indicate the type(s) of Operating Permit(s) requested by checking each applicable box. (If you require assistance,or would like more information,contact the City of Arlington Building Department at 360-403-3551.) ❑ Manufacturing,storing or handling hazardous materials in quantities exceeding those listed in the Fire Code (see Appendix A.) Identify the materials and quantities and describe the manner in which the materials will be manufactured,stored or handled (attach additional sheets if necessary): ❑ Conducting a hazardous process or activity,including,but not limited to,any commercial or industrial operation which produces combustible dust as a byproduct,fruit and crop ripening,waste handling,spray operations,and high-piled storage (see Appendix B.) Describe the process(es) or activity(ies)to be conducted (attach additional sheets if necessary): REV032021 Pagel of 3 ❑ Use of pyrotechnic devices in assembly occupancies (see Appendix C.) Describe the devices to be used and type of event(attach additional sheets if necessary): 0 Aboveground Storage Tank(AST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: Using a tank and dispenser to fill forklift and other LPG cylinders ❑ Underground Storage Tank(UST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑Temporary Membrane Structures, including tents and canopies (see Appendix E.) Brief description of structure and use: ❑ Special Event Operating Permit-An Operating Permit is required for any special event that takes place within an occupied building, or an outdoor mass gathering,which is outside the scope of the permitted use (see Appendix F.) Brief description of type of gathering proposed: ❑ Mobile Vendor- (see Appendix G.) Brief description of vehicle and use: Part III Premises/Building Information 1. Date of last inspection of Premises: Uncertain 2. Has a Certificate of Occupancy been issued for the premises? ✓❑Yes ❑No Type: ❑■ Permanent❑ Temporary Date of Issuance: REV032021 Page 2of3 3. Are there currently any open Building Permits associated with the premises? ❑Yes Q No If yes,please describe (attach additional sheets if necessary): 4. Additional Comments: SIGNATURE OF APPLICANT I herby certify that the foregoing information (and all information in attached sheets,if any) is true and complete. Digitally signedard Jr F Joe Girard Jr Date:023.0627Y15:22:15F Joe1r0700' 6/27/23 Signature of Applicant or Authorized Representatives Signature Date F Joe Girard, Account Manager Ferrellgas LP Name and Title (if applicable) of person signing Application(Please print) Part IV To be completed by the City of Arlington Building Department Inspection Required: ❑Yes ❑ No Inspections Performed: ❑Yes ❑NOD Date of Inspection: Tests or Reports required verifying compliance? ❑Yes ❑No If YES,have Tests or Reports been received? ❑Yes ❑No OPERATING PERMIT APPROVED Operating Permit Issued by: Date Operating Permit Issued: Date Operating Permit Expires: Type/Description of Operating Permit: Conditions of Operating Permit(list conditions here AND in the space provided in the Operating Permit: Additional Comments: (Attach additional pages if needed) REV032021 Page 3of3 70q 500g above ground LPG tank 9'10" • • with outside dia of dp ve t : • 4tecti• 00 • dispenser 42" W x 20" �� • - • blocks • r • • •- VL 1 This tank is dispensing for internal industrial use. It will not be reselling LPG. 500 gallon above ground LPG tank. Cut sheet attached. Dispenser cabinet with 1 hp pump and motor for dispensing LPG. Cut sheet attached. Concrete "eco block" for crash protection set 3'from the skin of the tank. 2'wide x 2' high x 6' long. Set no more than 40" apart. Weight is 2,600 lbs. Emergency shut-off valve will be mounted on building 21'from dispenser. There will be an 18# BC rated, NFPA qualified,fire extinguisher mounted at the dispenser cabinet. Tank will be anchored with 36" long anchors with 6" helix. Detail drawing attached. Dispenser is 15'from the closest property line (shown). It is greater than that to the other three property lines. i PRODUCTS, INC. TDM Style Dispenser Designed to Meet and Exceed NFPA 58 Requirements Utilizing UL Approved Equipment i 1 y I � r Y t r J Teeco Products, Inc. 7471 Reese Road, Sacramento, CA 95828 Phone 800-225-6621 www.TeecoProducts.com PRODUCTS, INC. TDM Series Dispensers Specif ications 10 Gauge Diamond Plate Aluminum Cabinet with '/4" Steel Base Dimensions 42" W x 41" H x 20" D RL100-1012S 4D Neptune Meter w/ Model 600 Register Pump of Choice - Smith / Corken / Blackmer Smith WW-340 3/4" External Bypass RegO A2141 A6 3/4" Pull-Away RegO 7554LV 3/4" Quick Acting Valve RegO A7575L3 3/4" x 1 3/4 ACME Adaptor RegO 3146S 3/4" Soft-Seated Back Check RegO 3125L 1/4" 400# Hydrostatic Relief Valve 15 foot Parker 3/4" Delivery Hose Explosion-Proof ON/OFF Switch wired to motor 2000# Forged Steel Pipe Fittings Unit completely tested for leaks Meter tested and calibrated Dispensing Unit meets or exceeds NFPA 58 requirements Utilizes UL Approved Equipment PRODUCTS, INC. TDM Series Dispensers Parts Breakdown 1 1 XS-2C Killark Switch&Cover 3 £ ` 2 EYS-1 Conduit Seal 3 RL100-1012 1" Neptune Meterw/600 Register 2 4 3125L RegO Hydrostatic Relief Valve 400# 4 }' .6 5 3272E Rego 20 GPM Excess Flow Valve 8 9 "� 6 7705P RegO 3/4"Globe Valve 7 3146S RegO Soft Seat Back Check Valve _ 7 8 7132-75354 Parker 3/4" LPG Hose Assembly ' 9 A2146A6L RegO Break-away Coupling 5 _G �'' 11 10 7554LV RegO Quick Actin 10 g g Valve t r 11 A75751-3 RegO 1 3/4"Acme Adapter 12 GG-20 GasGuard Nozzle d <<' Optional 12 13 A106B-075 3/4"Schedule 80 Pipe 14 RIG-34 3/4" Ridgid Conduit 13 ; 17 18 15 UNY-105 3/4"Conduit Union q 19 16 GRSS-2 3/4" Killark Junction Box ' i 17 1143 3/4"2000#F.S. Union 18 GC-1 LZ-EM-5B Smith Pump and Motor 19 WW-340 3/4"Smith Bypass Valve 1 15 16 RED SEAL TS-285(G .MEASUREMENT TYPE 4D-MD L.P. GAS FLOWMETER 66 1 " ALUMINUM BODY ' ' ' ' ' DISPENSER METER DESCRIPTION The Red Seal 1"Type 4D-MD meter, with double case design has been specifically designed for the custody transfer of liquefied propane and butane gas (LPG). This meter utilizes the oscillating piston positive displacement measuring chamber technology. The 1"Type 4D-MD is particularly suited for filling portable gas bottled and fuel containers for portable burners, pavement heaters, weed burners, fork lift trucks and motor fuel tanks. The standard unit includes the base meter with the choice of either a 600 Series totalizing register with a resettable counter or an 800 Series printer register.A differential control 1" 4D-MD with 600 Series Register valve, combination vapor eliminator/strainer, continuous bleed pressure relief valve and tubing kit are also included. An optional automatic temperature compensator(ATC) is available. The ATC senses product temperature and adjusts OPERATING SPECIFICATIONS the readout to result in registration that is compensated to 15°C (60°F). Flow Rate LPM US Gal./Min. Maximum 68 18 Minimum 11 3 DESIGN FEATURES Operating Pressure Bars PSI SUPERIOR ACCURACY Maximum 24 350 Minimum See Note The Neptune designed oscillating piston measuring chamber is both accurate and reliable. The piston is treated with a Operating Temperature °c °F special coating which protects it from damage by impurities (without ATC) and adds lubricity for smooth performance at low flow and Maximum 60 140 high operating pressures. Minimum -23 -10 FLEXIBILITY Temperature Compensation(ATC) Rugged outer body components in a compact design make Compensates to a basepoint of 15°C(60oF) the 1"Type 4D-MD useable in a wide variety of installation Range: -23°C to 52°C(-10°F to 125°F) configurations. The meter is also available with several Connections different register options, and in temperature compensated Ductile iron companion flange tapped for 3/4"std.pipe and uncompensated versions. Optional ductile iron companion flange tapped for 1"std.pipe UNITS OF MEASURE Note:A minimum of 1.034 bars(15 psi)is needed to open the dif- Neptune 600 and 800 Series registers offer a full range of ferential control valve,plus pressure loss in the system. options for calibration in U.S. gallons, Litres and Imperial gallons, with 5 digit reset and an 8 digit non-resettable totalizer. www.redsealmeasurement.com DIMENSIONAL DATA, mm (in.) 1" 4D-MD with 1" 4D-MD with 1" 4D-MD with 600 Series 800 Series Register 600 Series Register Register, pulser, and ATC and pulser 67 Myd (a°M11 tf14 (1°/a 14 NPT --- Om nt CNNOulm W4 1 86 3/4 NRT mil CILITW 3/4 fIQNp 93 " INLJS(AND OUTILIT (34W ----__ os r►se1 --- --- 3"CLEARANCE FOR (BrIrW REMOVING REGISTER t 'ECLEARANCE L_.. —4tA t s� FOR REMOVING REGIS I 2-CLEARANCE YING REGISTER 87 Wks) 406 i z (t61 1/ (14Y.) 412 114 mm(45i) �110 1� 194 20 CLEARANCE (4.1.) FLARED TUBE FOR REMOVING 60 (z 1 FITTING STRAINER 114 mm(41h) CLEARANCE FOR REMOVING Bottom View STRAINER WO (4%.) 60All Configurations (2') CLEARANCE %j 18 UNC 28 FOR REMOVING 110__1 60 (3 HOLES) STRAINER 1 I � 1 Specify Genuine Neptune Replacement Parts Accuracy of all Neptune Type 4D Custody Transfer Meters for use with L.P. Gas and Butane meets or exceeds N.I.S.T. Handbook 44 Parameters. 1310 Emerald Road IsCoiaR11a20IW Greenwood, SC 29646 USA RED SEAL L, Phone: 1.800.833.3357 MEASUREMENT ��"�,! TOVNIeMIenO Fax: 1.864.223.0341 1* iw �-^^^ m,.�.oa..o. Excess Flow Valves for Liquid or Vapor 3272 Series,3282 Series,3292 Series,A3272 Series,A3282 Series,A3292 Series,7574 and 12472 F - % G`'m Closing Flo�Range WE--.. __... .■. .. loon �.■■..111...I n I o.ME.cu . io1 "pl 1■■■��■■■1111■■11 ... .e�i..... n.�n .■n.1O. ._ I■111�■■■111111■111 ' . 111/ii ■■Illn!111 "111 IIIII■■■■1111111111 � ,111■■�:illlllllll■��J1�IIII1111 ��I■■iiiiiiil1111■■■■Irlllll�ll • 111�_�_■_■��IIII��mm1MlM=M mom /:`��i%�1111■�11 ' �.��.■.....i....��.6�...11.■.Mon m Mom. �11�■■.��1111��11—%1■■■IIIII■111 "••1 111��%IIIIIIII�iII�■11111111111 'C.1��■■..IICAI��■■■1111■■11 1__!;�■■Il�:iilllll■■■11111111111 .Illii■■1�!:n■111�■■■111111■111 111�■'.■111111111�■■■■11111■111 �:��■�:illlllllll■■■■1111111111 11��%�11111111111■■�11111111111 III��IIIIIIIIIIII■■111111111111 _ • • . • • - • • •- B 1) PF proximate Closing Fl Outlet Effective Vapor SCFH(Pro ne art Brass or Inlet Connecti Connection Wrench Length p umber Steel (M.N (F.NPT) Hex Flats (Approx.) Liquid(GPM Propane) 25 PSIG Inlet 100 PSIG AM 1 1 11 ® ® 1 11 11 ® :11 111 �_� � 1 11 . •11 1 11 .11 �_� � 1 • 111 . 11 1 111 111 11 .11 1 1 1 1 / 1 1 1 1 e 1 Application CIS N, Designed to ensure positive shut-off and long maintenance-free . U� service life in liquid or vapor service.Ideally suited for use on cylinder charging manifolds, truck filling hoses, bulk storage containers and plant piping. The high quality construction and wide variety of sizes make them Open highly suited for use with LP-Gas, anhydrous ammonia and in the chemical and petrochemical industries. Features • Available with either a brass bonnet and bronze stem for LP-Gas service or a steel bonnet and stainless steel stem for combined LP-Gas and anhydrous ammonia service. 1 311/16" • Flange seal stem provides for leak-proof operation.No packing to 77 0 P reti hten or replace. A7 P 9 p 7705 P A7705 P • Metal-to-metal back seat permits replacement of the flange ring with the valve in service. • Plugged '/4" NPT boss on downstream side of valve A7704P accommodates hydrostatic relief valve or vent valve. • Swivel seat disc minimizes grinding on the body seat and ensures longer service life. • "Dropped seat'body design of the angle valve provides high flow capacity. 33/1fi Open Materials Body............................................................................... Ductile Iron Bonnet(7704,05,06).............................................................. Brass _ Bonnet(A7704,05,06)............................................................ Steel _ Stem(7704-05-06)................................................................ Bronze Stem(A7704-05-06).................................................. Stainless Steel Flange Ring........................................................... Synthetic Rubber Seat Disc............................................................... Synthetic Rubber 111/s" 7704 LP A7704 LP 7706 P A7706 P 7706 P 'Irdering Intornm- IPart Number Accessories 16L Angle Inlet&Outlet Connection(E NPTkwm Hydrostatic Relief Valve Vent Valve 7704P 7704LP A7704P A7704LP Y� 7.3 12.3 7705P 7706P SS8001 J or SS8001 L TSS3169 A7705P A7706P a/ 11.5 17.7 To obtain approximate flow at other than 1 PSIG pressure drop,multiply flow in table by square root of pressure drop.Example:A7704 LP @ 9 PSIG=12.3 x f=36.9 GPM/propane.For NH3 flow, multiply propane flow by.90. EIG AMMM 100 Rego Dr.Elon,NC 27244 USA www.regoproducts.com +1(336)449-7707 General Information RegO Back Pressure Check Valves are designed to allow flow in one Metal-to-metal seats will allow slight leakage after closure. These direction only. The check, normally held in the closed position by a valves will restrict the escape of container contents in the event of spring, precludes the possibility of flow out of the container. When accidental breakage of the piping or fittings. flow starts into the container, the pressure overcomes the force of the spring to open the check. When the flow stops or reverses, the check closes. Back Pressure Valves for Container or Line Applications Application Designed to provide protection of a container opening when desired flow is always into the vessel.May be used in line applications where flow must be limited to one direction. —A When used with the appropriate single check filler valve, the combination forms a double check filler valve suitable for use in filling ° of bulk storage tanks. c Features B • Generous flow channels for low pressure drop. • Heavy-duty construction for long service life. 3146Series,31765eries,A3186,A3196 • Soft seat valves have synthetic rubber seat disc for positive seals. 11 Materiais Body(3146,3146S,3176)....................................................... Brass Body(all others) ........................................... Cadmium Plated Steel A Disc(3146,3146S,3176)........................................................ Brass Disc(all others)............................................. Cadmium Plated Steel Stem(3146,3146S,3176) ...................................................... Brass Stem(A3146,A3196,A3276BC) .............................. Stainless Steel ° Stem(A3176,A3186) Cadmium Plated Steel c ................................... Spring ..... ........................... .................................... Stainless Steel B Seat Disc 3146S,A3276BC ............................... Synthetic Rubber ( A3276BC —Effective Length REGO 1 O (2"-11.5 NPTF THD) (2"-11.5 NPTF THD)YEAR WARRANT (3"-8 NPTF HD) 8.209 A3198S A3187S Container Service Installation Typical Installation 3146,A3146,3146S,3147S,A3276BC,3176,A3176,A3186,A3196 100 Rego Dr.Elon,NC 27244 USA www.regoproducts.com +1(336)449-7707 MEL F29 Back Pressure Valves for Container or Line Applications 3146 Series,3176 Series,A3186,A3187S,A3196,and A3276BC ME 1 Part Number A B C D Propane Liquid Capacity at various differential pressures(GPM) Inlet Outlet ective Brass Connection Connection Wrench HexFlatsItength 5PSIG 10 PSIG 25 PSIG 50 PSIG F.NPT prox.) F • Swing-Away Back Pressure Check Valves for Container or Line Applications 6586D and A6586D Part Number A. B. C. D. Propane liquid Capacity at Various Differential Pressures(GM Inlet Connection Outlet Connection Wrench Effective Length Brass Steel F.NPT M.NPT Hex Flats (Approx.) 5 PSIG 10 PSIG 25 PSIG 50 PSIG ' . •I. Application Designed especially to provide pull-away protection for LP-Gas and p� anhydrous ammonia transfer operations including transport and �- delivery truck loading and unloading,engine fuel container filling and miscellaneous cylinder filling operations. When properly fastened to ( r the inlet end of the discharge hose,the valve is designed to stop gas escape from both upstream and downstream lines in the event of a pull-away.An excessive tension pull causes the valve to automatically separate,closing two internal back pressure checks.Only a few cubic centimeters of gas escape at the instant of separation. A2141AG It is recommended that a convenient means be provided to safely remove the pressure from the line upstream of each coupling half to enable reassembly of the valve.To reassemble,simply push the male half firmly into the female half until the retaining balls slip into the retaining groove.Check for leaks after reassembly. NOTE: It is recommended that pull-away valves be maintained and -- safety tested perodically to confirm that they will separate properly in the event of a pull-away. Lubrication every six months is essential to the pull-away's operation.Dry nitrogen or other inert gas is suggested as a source of pressure for pull-away tests. If the A2141 pull-away valve is going to be stored for a period of time, A2141 Series such as in seasonal applications, it is recommended that it be sprayed with a good grade of rust-preventive machine oil, A214UUO and covered to protect it from moisture. Features • Heavy-duty construction for long service life. • A"true"pull-away type valve which simply reconnects by snapping together without unnecessary downtime or need for new parts. • Buna-N seals provide leak tight operation. n s A e • 400 PSIG operating pressure. Materials Body(%" 1")................................................. Cadmium Plated Steel Body(1%",2")............................................... Cadmium Plated Steel Seals........................................................................ Buna-N Rubber A2141A6 A2141A6L Cables........................................... Nylon Coated,Galvanized Steel A2141A8 A2141A8L 8.5"Appro 12.3" 5" 5.51" REG YEAR WARRANTY A2141A16 A2141A10 Orderi) . Differential Part Number Connections Force Force Length Of Valve A2141A6 130 80 3'/a" 11 16 25 36 A2141A6L** A2141A8 1" 75 50 4%6" 21 30 47 67 A2141A8L— A2141A10 1'/<" 160 25 5%11 52 75 120 170 A2141A16 2" 300 50 149/16 250 350 550 750 *To Determine NH,Iiq.,d flow capacity,m tlply by.W 100 Rego Dr.Elon,NC 27244 USA www.regoproducts.com +1(336)449-7707 SEGO .I Application o05 Designed especially for the protection of piping and shut-off valves . U� where there is a possibility of trapping liquid LP-Gas or anhydrous ammonia. They may be installed in pipelines and hoses located 3129-10 between shut-off valves or in the side boss of RegO shut-off valves. Pipe Aw Features • Relief valve designed to automatically reseat firmly after discharge. • Resilient seat disc provides a"bubble-tight"seal. J04 I • Available in both brass and stainless steel. • Available in configurations that permit direct attachment of vent piping when required. C Materials Body(3125,3127,3129)........................................................ Brass Body(SS8001,SS8002,SS8021,SS8022)............. Stainless Steel A Spring....................................................................... Stainless Steel Seat Disc............................................................... Resilient Rubber 3125 Series(.161 Orifice) 3127 Series(.274 Orifice) 3129 Series(.386 Orifice) Ordering Information ConnectionStart To Container ILe ch Pipeaway- SS8001 G /<" 11/16" SS8002G Stainless /2' /s W, SS8021G Steel /4" , 11/16" /4"NPSM Thrds SS8022G 250 '/2' 1/8' /a 3/d'NPT Thrds 3127G '/4" 131/32' 9103-54 3129G '/2' 219/32" 1'/d' 3129-40P 3129-10* 3127H 275 Brass %1' 131/32, 3/8" 9103-54 - 3124 /2' 219/32' 1%11 3129-40P 3129-10* 3127P /4" 131/32" 1'/a" 9103-54 - SS8022G 3129P 300 219/32" 1%11 3129-40P 3129-10* SS8022P Stainless /2' 1%11 %a" - 3/a"NPTThrds Steel 7K 3127J Brass 1/a" 131/32" %a" 9103-54 - C C 3129J '/2' 219/32" 1%11 3129-40P 3129-10* SS8001J 350 '/4" 1W, 11/16" - SS8002J Stainless '/2' %a" SS8021J Steel 1/4' 11/16" WNPSM Thrds SS8022J /2' 13� WNPT Thrds A 3127K '/4" 131/32" /a 9103-54 - 3129K 375 /2" 219/32' 11/8" 3129-40P 3129-10* A SS8001,SS8002 3125L Brass 19/16" %' 3125-40P Series 3127L /" 131/32' 9103-54 SS8021,SS8022 (.156 Orifice) *2 /32" 1%11 3129-40P 3129-10 Series 3129E '/2' 19 (.156 Orifice) SS8001 L 400 '/4" %11 11/16" SS8002L Stainless '/2' %d' SS8021L Steel '/4" 11/16" 1 '/d'NPSM Thrds SS8022L ''/z" W NPT Thrds _ 3127U Brass ''/4" 131/32" /a 9103-54 - R E G 3129U '/2' Z19/32' 111/16" 16" 3129-40P 3129-10* O SS8001U 450 �/4 /1s SS8002U Stainless '/2' SS8021U Steel '/;' 1„ 11/16" /4'"NPSM Thrds YEAR SS8022U '/2' %a" 3/2'NPT Thrds r WARRANTYdi *1/2'F.NPT outlet connection. DIG SEGO 100 Rego Dr.Elon,NC 27244 USA www.regoproducts.com +1(336)449-7707 Application 7554S Series valves provide instant shut-off and fast opening control on LP-Gas crop driers. They are also ideal for charging manifold hoses,stationary fuel transfer hoses and other applications requiring quick,positive shut-off.They are not for use with delivery truck hoses because the handle could snag on the ground and open the valve as the hose is reeled back to the truck. 7554L Series valves feature a locking handle device to help prevent accidental opening of the valve.It is ideal for all the same applications as the 7554S Series and may be used on delivery trucks as it incorporates the locking handle design. Both valve series must be installed so that flow through the valve is opposite to that of a conventional globe valve. This allows the inlet flow to assist in closing the valve and prevents the valve from being opened by high pump pressures. 311" Features 7554S 3• • Quick-acting design speeds transfer operations, permitting rapid, one-handed opening and closing. • Resilient seat disc provides positive shut-off. 3 i16 • Flange seal stem design provides for leak-proof operation. No packing to retighten or replace. • 7554L Series incorporates locking handle to prevent accidental opening of the valve. INLET • Vent valve installed on the downstream side of the valve permits bleeding of trapped product to ensure safe uncoupling. • Swivel seat disc minimizes grinding on the body seat and ensures s longer service life. Materials Body................................................................................ Ductile Iron Bonnet...................................................................................... Brass StemSeal................................................................................ Teflon Stem.......................................................................... Stainless Steel Seat Disc................................................................ Nitrile Elastomer 3• Seal Housing..............................................................................Brass Lever...........................................................................................Brass 7594LV 3 116' INLET 127, 31118 Ordering Information Part Number Inlet&• .. ... 7554SAV No 7554LAV �z Yes 7.3 7554SV No 7554LV Yes 11.3 *To obtain approximate flow at other than 1 PSIG pressure drop, multiply flow in table by square root of pressure drop.Example:7554LV @ 9 PSIG=11.5 X✓9=34.5 GPM/ propane. $$ fiVAEGQ 100 Rego Dr.Elon,NC 27244 USA www.regoproducts.com +1(336)449-7707 - I I Application Designed especially for liquid filling and vapor equalization of LP-Gas and anhydrous ammonia. The limited travel of the handle on the tailpiece minimizes spin-off,encouraging cautious removal to properly A bleed off trapped product to ensure closure of the filler valve and hose end valve.The ACME threads are machined on a rugged steel insert which is permanently cast in the aluminum handle,providing for durability under repeated use. Features • Lightweight aluminum handle is contoured and ribbed for added C comfort,easy handling allows for easy make-up. • Free swivel action between tailpiece and handle allows for easy 5" make-up. • Simplified design eliminates an extra joint and provides smooth, uninterrupted flow. sb B A7571Series For Vapor Equalizing Materials Handle............................................................................. Aluminium ACME Threads................................................................. Steel Inlet Restraining Ring....................................................... Stainless Steel A— I I RE y C ! 5" )1 I B A7575Series For Liquid Filling Ordering Information Part Type Hose Connection Coupling Connection ,11M of Service (M.NPT) W ACME) Length A75751_2* 1/2" A75751_3 3/a" A7575L4 Liquid ill 1'/a" A7575L5** 11/<" 7 A7571 LA /2" 1 A7571 LB Vapor 3/„ Includes 7199-33 adapter,shipped loose. Includes A75751-5-1 adapter,shipped loose. H4 M9992 100 Rego Dr.Elon,NC 27244 USA www.regoproducts.com Phone(336)449-7707 SMITH ; PUMPS Small Capacity Pumps EC-HZ Pump E-Series Each E-series pump comes complete with an internal/external bypass valve and built-in strainer. Affords the flexibility of either using the pump bypass valve to relieve within the pump in cases where it is necessary or with a simple rotation of the pump cover,the internal bypass valve can be used as an external bypass valve with the use of a return line back to the supply tank.The bypass valve cartridge is set to crack at 90 psid. Designed for direct motor mount to the 56C-frame electric motor or to internal combustion engine for portable transfer applica- tions. Replacement parts for E-series are Interchangeable with D-Series. Foot mount available. Pump Specifications PumpOnly Average Deliver Rate Internal Bypass Maximum Differential Inlet/Outlet Size Motor y g y Relief Valve Setting Pressure Female Threaded Pump Rotation Looking at Pump Model 40 PSID, 75 PSID,3600 RPM 3600 RPM PSI PSI Inches HP Shaft End EG-1Z 81/2 7 90 125 3/4 1 CW EC-HZ 131/2 1 12 90 125 1 11/2 CW GEAR SET EASY TO MAINTAIN BALANCED GEAR CONFIGURATION Without disturbing the mechanical shaft Minimizes gear tooth contact and eliminates constant seal,the gear set can easily be replaced. casing contact.Allows for higher differential pressure. All pipework remains in place. SUPERSEAL MECHANICAL SHAFT SEAL ASSEMBLY Built as a kit onto the pump shaft - Your assurance that the seal has been tested before and after assem- bly into the pump. All replacement mechanical shaft CONVERSION TO LARGER CAPACITY PUMP seal assemblies are dynamically liquid tested before With the addition of 1-3 secondary gear shipment. housings, each with 50 GPM capacity, bulk transfer pumps can easily be converted to higher capacity. - r NO SERVICE BALL BEARING With no load design, permits the use of radial contact ball bearing,requiring no periodic greas- ing or servicing of any kind. CARBON GRAPHITE JOURNAL BEARINGS Designed to withstand vapor conditions associated with liquefied gases and support the entire length of the pump shaft to maximize smooth,efficient operation. State-of-the-art Mechanical Shaft Assembly Smith Precision Products Company offers a full line of positive displacement pumps for liquefied gas transfer. Designed for safety and high performance, Smith pumps are unequalled in installations ranging from small capacity cylinder filling to large capacity bulk loading or unloading facilities. Smith Precision Products Company has been designing and manufacturing liquefied gas pumps since 1938 and has Introduced many innovative designs now standard on most liquefied gas pumps. Positive Displacement Gear Design lends to highest efficiency. Smith pumps utilize a high efficiency gear set designed for high performance, minimal slippage, and ease of maintenance. The unique design al- lows for balanced internal loading which greatly increases pump life expectancy. Smith pumps are widely used for applications including cylinder filling, automotive fueling, bulk transfer, vaporizers, high pressure burners and truck applications. Standard base type models are available In 3/4, 1, 1-1/2, 2-1/2, and 4-inch port sizes. Options include threaded housing ports or threaded and/ or weld flanges. Smith pumps utilize a 3-piece mechanical shaft seal designed as an integral part of the pump shaft. This unique feature allows the actual seal ring to rotate at 1/2 the shaft speed, greatly increasing seal life. Also, should mechanical seal replacement ever be necessary In the field, service personnel won't be fumbling around with loose seal components.The Smith mechanical seal is received as a factory tested, assem- bled unit that cannot be taken apart. Additionally, all Smith pumps include an ease of maintenance design that allows the gear set to be replaced WITHOUT Taking the mechanical shaft seal apart. ALL PUMPS AND BYPASS RELIEF VALVES shown are listed with the Underwriters Laboratories and are manufactured and tested to UL-51. Solutions be vnd products... CORKEN- ASEX Coro-Flo® Pumps The Coro-Fio® pump is offered in three different model drive configurations. The C-Model configuration has the pump close coupled to a motor (shown below). The F-Model has a separate pump body and is directly driven through a coupling. And finally, the DS/DL Model pumps are mounted on a special bracket which will accept standard C-face motors. Designed specifically for LPG, the C-Model pump is extremely quiet and free of vibration and pulsation and provides trouble free service and long life for volatile liquids such as LPG. The one W 4o, s moving part, the impeller, floats on the shaft without contact- 3 • ing adjacent surfaces, thus extending pump life. All Coro-Fio® pumps are listed by Underwriters Laboratories, Inc. for LP-Gas i and anhydrous ammonia service. XAW �l -�� The F Model pump is the base plate mounted version. Coro-Flog pumps are designed to operate at shaft speeds between 2880-3600 rpm. The F-Model provides the flexibility of motor selection. l The DS/DL Model pumps are designed to eliminate the need for a baseplate, coupling guard, and coupling alignment which . VENOM makes DS/DL series pumps compact and easy to install. The special bracket supports both the pump and the motor so they t can be directly coupled. .� Now Additional Mounting Holes Coro-Fio® pumps have an option of ANSI flange connections on all of the various sizes and model types. • 1 11 Section: 501 Part of Pump Solutions Group® Effective: October 2012 DDYBt c wn Replaces: February 2009 LG1 Series Sliding Vane Pumps for Cylinder Filling ro�O LGF1 E and LGF1 PE model sa h Cylinder Filling How Blackmer's sliding vane action works LGB1 E and LGB1 PE model Reliability Flow Rates Durable pumps for fast and quiet operation.Sliding vane At motor speed 1,750,the LG1 Series pumps provide design provides sustained performance and trouble approximately 8.0 gpm (30.3 L/min)at 50 psi (3.4 bar) free operation. and the LG1 P models provide 13 gpm (49.2 L/min)at 50 psi (3.4 bar). Unique Features The latest 6-vane design contributes to reduced noise levels Applications in the pumps.All models have 1-in. NPT tapped parts and Cylinder filling,motor fueling,small vaporizers use an exclusive"combination"valve that acts as both a and dispensers. back-to-tank bypass valve and an internal safety valve (no separate bypass valve is needed).The LGF1 pumps accept standard C-face mounted motors. �► LG1 Series Sliding Vane Pumps for Cylinder Filling AA E $ "B'KEY AA E S S Ir U V � D �E U V U "B"KEY "B"KEY o 0 4 Q A M A� M o 0 Q A o G K F%� K I� *LGF Model non-footed **LGF Model footed LGB Model Dimensions Pump Model A B r r Approximate.Wt. lbs. k *LGF1 E in. 11/16 3/16 311/16 41/2 - - - 71/8 41/2 21/2 21/2 611/16 LGFIPE CFaceMount mm - - 93.7 114.3 - - - 181.0 114.3 63.5 63.5 169.9 39 17.7 **LGF1 E in. 11/16 3/16 311/16 41/2 31/8 65/8 41/2 85/16 41/2 21/2 21/2 611/16 LGF1 PE C Face Mount mm - - 93.7 114.3 98.4 168.3 114.3 211.1 114.3 63.5 63.5 169.9 39 17 7 LGB1E Bracket in. 1 11/16 1 3/16 1311/16 141/2 1 29/16 1 31/8 131/2 1 7s/1e 1 41/: 1 21/2 21/2 - 19 8.6 LGBIPE Mount mm - - 93.7 1 114.3 1 65.1 1 85.7 1 88.9 1 185.7 1 114.3 1 63.5 63.5 - Performance Data Pump and Approx.Approx.Delivery of rr. Diff Maximum Maximum Typical rr r Assembled Motor r r r Motor r. r Speed 1 psi r. 00 psi bar) Pressure Pressure Model I RV Setting (rpm)' gpm L/min gpm L/min psi bar psi bar hp Minimum Frame Maximum Frame LGHE 105psi 1,750 8.0 30.3 6.0 22.7 125 8.6 350 24.1 1 56C 184C4 (7.2 bar) LGB1 E-DM 105 psi 1,750 8.0 30.3 6.0 22.7 125 8.6 350 24.1 1 56 184 (7.2 bar) LGF1 PE 120 psi 1,750 13.0 49.2 10.0 37.9 125 8.6 350 24.1 1.5 56C 184C4 (8.3 bar) LGB1PE-DM 120psi 1,750 13.0 49.2 10.0 37.9 125 8.6 350 24.1 1.5 56 184 (8.3 bar) 1 Maximum pump speed is 1,750 rpm.Slower electric motor speeds may be used with a corresponding reduction in flow rate. 2 Maximum rated working pressure is 350 psi(24.1 bar)for LPG and NH,(limited by U.L.and N.H.A.58). 3 Motors may be specified from dimension charts above and electric motor price list No.10-MTRG-01(explosion proof manual start switch for 1 and 11/2 horsepower single phase motors also available). 4 Pump flange accepts NEMA C-face motors with 5 7/8"bolt circle diameter.Pump flange will not accept 182TC or 184TC frames. Combination Relief/Bypass Valve Normal Operation Back-to-Tank Bypassing Pressure Relief Valve is completely Discharge pressure If back-to-tank line closed during normal exceeding the valve is closed,valve O operation with O settings opens valve to O opens to third stage, discharge line open. second stage,returning passing flow back to all or part of pump flow inlet side of pump. back to supply tank. OEIPGA Part of Pump Solutions Group® • DDVER m �' Process Energy I Military&Marine World Headquarters �SG 1809 Century Avenue SW,Grand Rapids,MI 49503-1530 USA PUMP 50LUTIONS GROUP T616.241.1611 F616.241.3752 www.blackmer.com Printed in USA O 2012 Blackmer • DDVER�co.wxr TRINITY CONTAINERS AG DOMESTIC TANKS OVERALL LENGTH LIQUID DOME RELIEF WITHDRAWAL VALVE Lj J OUTSIDE w DIAMETER > 0 LEG *PLUG J WIDTH LEG SPACING General Specifications Conforms to the latest edition and addenda of the ASME code for Pressure Vessels, Section VIII, Division 1. Complies with NFPA 58. NOTICE LP GAS FILLER Rated at 250 psig from -200 F. to 1250 F. All tanks may be VALVE evacuated to a full (14.7 psi)vacuum. Vessel Finish: Coated with TGIC powder. FLOAT � Liquid withdrawal opening located under the dome on the GAUGE ` PLAT E 120wg vessels ONLY. SERVICE/ - MULTIVALVE - - ABOVEGROUND VESSEL DIMENSIONAL INFORMATION All vessels dimensions are approximate WATER OUTSIDE HEAD OVERALL OVERALL LEG LEG QUANTITY CAPACITY DIAMETER TYPE LENGTH HEIGHT WIDTH SPACING WEIGHT FULL PER LOAD STACK * 120 wg. 24" Ellip 5'-5 13/16" 2'-8 1/4" 10 1/8" 3'-0" 245 Ibs. 96 12 454.2 L 609.6 mm 1671.6 mm 819.2 mm 257.2 mm 914.4 mm 111.1 kg. *250 wg. 31.5" Hemi 7'-2 1/2" 3'-3 3/4" 12 3/4" 3'-6" 472 Ibs. 63 9 946.3 L 800.1 mm 2197.1 mm 1009.7 mm 323.9 mm 1066.8 mm 214.1 kg. *320 wg. 31.5" Hemi 8'- 11 3/4" 3'-3 3/4" 12 3/4" 4'-0 1/4" 588 Ibs. 45 9 1211.2 L 800.1 mm 2736.9 mm 1009.7 mm 323.9 mm 1225.6 mm 266.7 kg. 500 wg. 37.42" Hemi 9'- 10" 3'-9 11/16" 15" 5'-0" 871 Ibs. 30 6 1892.5 L 950.5 mm 2997.2 mm 1160.5 mm 381.0 mm 1524.0 mm 395.1 kg 1000 wg. 40.96" Hemi 15'- 10 13/16" 4'- 1 3/8" 16 1/4" 9'-0" 1729 Ibs. 15 5 3785.0 L 1040.4 mm 4846.6 mm 1254.1 mm 412.8 mm 2743.2 mm 784.3 kg 1465 wg. 46.77" Ellip 17'-6 7/8" 4' - 4 3/4" 21" 10'- 0" 2745 Ibs. 12 4 5545.0 L 1188 mm 5356.2 mm 1339.9 mm 533.4 mm 3048 mm 1245 kg 2000 wg. 46.77" Ellip 23'-9" 4'- 7" 21" 20' - 0" 3676 Ibs. 8 4 7570.0 L 1 1188 mm 7239 mm 1709.7 mm 533.4 mm 6096 mm 1667.5 kg DRAIN PLUG NOT AVAILABLE Eng.Update: April 5,2013 I - � from property fir 00• above • . i LPG tank . . of 38" • . •� • • pr ection i dispenser i 1 i - . - • blocks�, _ Plan Review By This tank is dispensing for internal industrial use. It will not be reselling LPG. City of Arlington 500 gallon above ground LPG tank. Cut sheet attached. Dispenser cabinet with 1 hp pump and motor for dispensing LPG. Cut sheet attached. Concrete "eco block" for crash protection set 3' from the skin of the tank. 2' wide x 2' high x 6' long. Set no more than 40" apart. Weight is 2,600 lbs. Emergency shut-off valve will be mounted on building 21'from dispenser. There will be an 18# BC rated, NFPA qualified,fire extinguisher mounted at the dispenser cabinet. Received Tank will be anchored with 36" long anchors with 6" helix. Detail drawing attached. Dispenser is 15' from the closest property line (shown). It is greater than that to the other three property lines. JUN 2 7 2023 x OPERATING PERMIT APPLICATION `, Community&Economic Development City of Arlington• 18204 59th Ave NE•Arlington,WA 98223 •Phone(360)403-3551 Part I Property Address for which Operating Permit is requested: 16900 51 st Ave NE, Arlington WA 98223 Parcel ID No.: 31052800100300 Current Occupancy0ccupled Project Description: Set a 500g above ground LPG tank with dispenser for filling cylinders Applicant Name: Joe Girard Home No.: 360.635.2287 Email Address: joegirard@ferrellgas.com Cell No.: 360.635.2287 Mailing Address: 3611 AST SE City: Auburn State: WA Zip: 98002 Contact Person: Joe Girard Phone No.: 360.635.2287 Part II Type of Operating Permit An Operating Permit is required to conduct any activity or to use any class of building listed below.Please indicate the type(s) of Operating Permit(s) requested by checking each applicable box. (If you require assistance,or would like more information,contact the City of Arlington Building Department at 360-403-3551.) ❑Manufacturing,storing or handling hazardous materials in quantities exceeding those listed in the Fire Code (see Appendix A.) Identify the materials and quantities and describe the manner in which the materials will be manufactured,stored or handled(attach additional sheets if necessary):— ❑Conducting a hazardous process or activity,including,but not limited to,any commercial or industrial operation which produces combustible dust as a byproduct,fruit and crop ripening,waste handling,spray operations,and high-piled storage (see Appendix B.) Describe the process(es) or activity(ies)to be conducted (attach additional sheets if necessary): Received REV032021 J U N 2 7 2023 Page 1 of 3 big ❑Use of pyrotechnic devices in assembly occupancies (see Appendix C.) Describe the devices to be used and type of event(attach additional sheets if necessary): ❑✓ Aboveground Storage Tank(AST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: Using a tank and dispenser to fill forklift and other LPG cylinders ❑ Underground Storage Tank(UST) (see Appendix D) ❑ Removal ❑ Decommissioning ❑ Temporary tank closure ❑ Changes in service ❑ Permanent tank closure Brief description: ❑Temporary Membrane Structures,including tents and canopies (see Appendix E.) Brief description of structure and use: ❑Special Event Operating Permit-An Operating Permit is required for any special event that takes place within an occupied building,or an outdoor mass gathering,which is outside the scope of the permitted use (see Appendix F.) Brief description of type of gathering proposed: ❑ Mobile Vendor- (see Appendix G.) Brief description of vehicle and use: Part III Premises/Building Information 1. Date of last inspection of Premises: Uncertain 2. Has a Certificate of Occupancy been issued for the premises? ❑✓ Yes ❑No Type: 0 Permanent❑ Temporary Date of Issuance: REV032021 Page 2 of 3 3. Are there currently any open Building Permits associated with the premises? ❑Yes 0 No If yes,please describe (attach additional sheets if necessary): 4. Additional Comments: SIGNATURE OF APPLICANT I herby certify that the foregoing information(and all information in attached sheets,if any) is true and complete. F Joe Girard Jr Digitally signed Date:023.06.27y15:22:15 F Joe 1f07'00'rard Jr 6/27/23 Signature of Applicant or Authorized Representatives Signature Date F Joe Girard,Account Manager Ferrellgas LP Name and Title(if applicable)of person signing Application(Please print) Part IV To be completed by the City of Arlington Building Department Inspection Required: ElYes ❑No Inspections Performed: []Yes ErNo Date of Inspection: Tests or Reports required verifying compliance? ❑Yes [—]No If YES,have Tests or Reports been received? ❑Yes ❑No OPERATING PERMIT APPROVED n/ Operating Permit Issued by: V , Date Operating Permit Issued: Date Operating Permit Expires: Nth. 1 Type/Description of Operating Permit: l g 01-SF—>L— 66:0 Conditions of Operating Permit(list conditions here AND in the space provided in the Operating Permit: �Pb.Gtw9t:. 6E`r"V� 92011�r---Cxvc Additional Comments: (Attach additional pages if needed) REV032021 Page 3 of 3 �' I TRINITY CONTAINERS AG DOMESTIC TANKS OVERALL LENGTH DOME LIQUID- RELIEF WITHDRAWAL VALVE / li i I LLI u I j OUTSIDE i i II DIAMETER 1 I W � 1 II I � II II 0 II 11 II � II / 11 ` I I / II u � LEG *PLUG WIDTH LEG SPACING General Specifications Conforms to the latest edition and addenda of the ASME code / \ � QdZ- for Pressure Vessels, Section VIII, Division 1. Complies with NFPA 58. �Jl N FOTICE P GE AS FILLER Rated at 250 psig from-200 F. to 1250 F.All tanks may be I VALVE evacuated to a full (14.7 psi)vacuum. ' Vessel Finish: Coated with TGIC powder. FLOAT **** ****** * *wwww** Liquid withdrawal opening located under the dome on the GAUGE F'f Revi 120wg vessels ONLY. SER IC vMULAE --- By City of Arlington ABOVEGROUND VESSEL DIMENSIONAL INFORMA *******ww All vessels dimensions are approximate WATER OUTSIDE HEAD OVERALL OVERALL LEG LEG QUANTITY CAPACITY DIAMETER TYPE LENGTH HEIGHT WIDTH SPACING WEIGHT FULL PER LOAD STACK * 120 wg. 24" Ellip 5'-5 13/16" 2'-8 1/4" 10 1/8" 3'-0" 245 lbs. 96 12 454.2 L 609.6 mm 1671.6 mm 819.2 mm 257.2 mm 914.4 mm 111.1 kg. *250 wg. 31.5" Hemi 7'-2 1/2" 3'-3 3/4" 12 3/4" 3'-6" 472 lbs. 63 9 946.3 L 800.1 mm 2197.1 mm 1009.7 mm 323.9 mm 1066.8 mm 214.1 kg. * 320 wg. 31.5" Hemi 8'- 11 3/4" 3'-3 3/4" 12 3/4" 4'-0 1/4" 588 lbs. 45 9 1211.2 L 800.1 mm 2736.9 mm 1009.7 mm 323.9 mm 1225jm266.7 kg. 500 wg. 37.42" Hemi 9'- 10" 3'-9 11/16" 15" CIWVL N ION 1892.5 L 950.5 mm 2997.2 mm 1160.5 mm 381.0 mm 11524 , 1000 wg. 40.96" Hemi 15'- 10 13/16" 4'- 1 3/8" 16 1/4" 9' MIG IC 5 3785.0 L 1040.4 mm 4846.6 mm 1254.1 mm 412.8 mm 12743.24.3 kg1465 wg. 46.77" Ellip 17'-6 7/8" 4'- 4 3/4" 21" 41 5545.0 L 1188 mm 5356.2 mm 1339.9 mm 533.4 mm 3048 rNe C lAtJdg-%I%TT1 IORIZE 2000 wg. 46.77" Ellip 23'-9" 4'- 7" 21 20' - g�Ii 4 U1 DI I P CT DR 7570.0 L 1188 mm 7239 mm 1709.7 mm 533.4 mm DRAIN PLUG NOT AVAILABLE Eng.Update: April 5,2013 '2..........1,M BUSINESS LICENSE 2 STATE OF WASHINGTON Issue Date: Sep 15, 2023 0 Limited Partnership Unified Business ID 601553542 Business ID 001 Location: 0015 FERRELLGAS, L.P. D/B/A FERRELL GAS OPERATING, L.P. Expires: Jun 30, 2024 FERRELLGAS, L.P. 1750 WALTON DR BURLINGTON WA 98233-4603 4� LP GAS METER-SMALL (1)-ACTIVE LP GAS METER- LARGE (5)-ACTIVE UNEMPLOYMENT INSURANCE -ACTIVE INDUSTRIAL INSURANCE -ACTIVE 55 TAX REGISTRATION -ACTIVE J CITY/COUNTY ENDORSEMENTS: FIFE GENERAL BUSINESS - NON-RESIDENT-ACTIVE ANACORTES GENERAL BUSINESS - NON-RESIDENT-ACTIVE BELLINGHAM GENERAL BUSINESS#036974 -ACTIVE MARYSVILLE GENERAL BUSINESS - NON-RESIDENT#0482CON399 -ACTIVE SEDRO WOOLLEY GENERAL BUSINESS - NON-RESIDENT#221151 -ACTIVE BURLINGTON HOME OCCUPATION BUSINESS (EXPIRES 9/30/2024)-ACTIVE ARLINGTON GENERAL BUSINESS - NON-RESIDENT (EXPIRES 9/30/2024) -ACTIVE OAK HARBOR GENERAL BUSINESS - NON-RESIDENT#BL-001 926 -ACTIVE LICENSING RESTRICTIONS: Not licensed to hire minors without a Minor Work Permit. L2 This document lists the registrations,endorsements, and licenses authorized for the business named above.By accepting this document,the licensee certifies the information on the application was complete,true,and accurate to the best of his or her knowledge,and that business will be conducted in compliance with all applicable Washington state,county,and city regulations. Director,Department of Revenue STATE OF WASHINGTON UBI: 601553542 001 0015 Expires: Jun 30, 2024 FERRELLGAS,L.P. D/B/A FERRELL LP GAS METER-SMALL(1)-ACTIVE GAS OPERATING, L.P. LP GAS METER-LARGE(5)-ACTIVE FERRELLGAS,L.P. UNEMPLOYMENT INSURANCE- 1750 WALTON DR ACTIVE BURLINGTON WA 98233-4603 INDUSTRIAL INSURANCE-ACTIVE TAX REGISTRATION-ACTIVE FIFE GENERAL BUSINESS- NON-RESIDENT-ACTIVE ANACORTES GENERAL BUSINESS- NON-RESIDENT-ACTIVE BELLINGHAM GENERAL BUSINESS #036974-ACTIVE MARYSVILLE GENERAL BUSINESS- NON-RESIDENT#0482CON399- ACTIVE Director,Department of Revenue '2..........1,M BUSINESS LICENSE 2 STATE OF WASHINGTON Issue Date: Sep 15, 2023 0 Limited Partnership Unified Business ID 601553542 Business ID 001 Location: 0015 FERRELLGAS, L.P. D/B/A FERRELL GAS OPERATING, L.P. Expires: Jun 30, 2024 FERRELLGAS, L.P. 1750 WALTON DR BURLINGTON WA 98233-4603 4� PARTNERS: FERRELLGAS, INC. FERRELL, JAMES E 75 ZERTUCHE, TAMRIA COLE, MICHAEL BURNS, JORDAN B BROWN, CATHY S J 5 L2 This document lists the registrations,endorsements, and licenses authorized for the business named above.By accepting this document,the licensee certifies the information on the application as complete, plete,true,and accurate to the best of his or her knowledge,and that business will be conducted in compliance with all applicable Washington state,county,and city regulations. Director,Department of Revenue STATE OF WASHINGTON UBI: 601553542 001 0015 Expires: Jun 30, 2024 FERRELLGAS,L.P. D/B/A FERRELL LP GAS METER-SMALL(1)-ACTIVE GAS OPERATING, L.P. LP GAS METER-LARGE(5)-ACTIVE FERRELLGAS,L.P. UNEMPLOYMENT INSURANCE- 1750 WALTON DR ACTIVE BURLINGTON WA 98233-4603 INDUSTRIAL INSURANCE-ACTIVE TAX REGISTRATION-ACTIVE FIFE GENERAL BUSINESS- NON-RESIDENT-ACTIVE ANACORTES GENERAL BUSINESS- NON-RESIDENT-ACTIVE BELLINGHAM GENERAL BUSINESS #036974-ACTIVE MARYSVILLE GENERAL BUSINESS- NON-RESIDENT#0482CON399- ACTIVE Director,Department of Revenue IMPORTANT! PLEASE READ THE FOLLOWING INFORMATION CAREFULLY BEFORE POSTING THIS LICENSE General Information Endorsements Post this Business License in a visible location at your All endorsements should be renewed by the expiration place of business. date that appears on the front of this license to avoid any late fees. If you were issued a Business License previously, destroy the old one and post this one in its place. If there is no expiration date, the endorsements remain active as long as you continue required reporting. Tax Login to My DOR at dor.wa.gov if you need to make Registration, Unemployment Insurance, and Industrial changes to your business name, location, mailing Insurance endorsements require you to submit periodic address, telephone number, or business ownership. reports. Each agency will send you the necessary reporting forms and instructions. Telephone: 360-705-6741 For assistance or to request this document in an alternate format,visit http://business.wa.gov/BLS or call(360)705-6741.Teletype(TTY)users may use the Washington Relay Service by calling 711. BLS-700-107(07/27/20) Permit#: 5443 Permit Date: 06/28/23 Permit Type: OPERATING Project Name: LPG Tank set Applicant Name: Ferrellgas LP Applicant Address: 3611 A ST SE Applicant, City, State, Zip: Auburn Contact: Joe Girard Phone: 3606352287 Email:joegirard@ferrellgas.com Scope of Work: Set LPG tank and dispenser Valuation: 16000.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 09/20/2023 Permit Expires: 12/24/2023 Form Permit Type: COMMERCIAL MECHANICAL Status: COMPLETE Assigned To: Kristin Foster Property Parcel# Address Legal Description Owner Name Owner Phone Zoning PAR A OF CITY ARL BLA AMAZON.COM 830 Open Space 31052800100300 16900 51 STAVE NE PROJ FILE NO PLN-439 SERVICES LLC Agriculture RCW REC AFN 201812055003 84.34 Contractors Contractor Primary Contact Phone Address Contractor Type License License# Ferrell Gas Joe Girard 360-635-2287 3611 A Street SE CONSTRUCTION COA 601553542 CONTRACTOR Ferrell Gas Joe Girard 360-635-2287 3611 A Street SE CONSTRUCTION L&I FERRELP055LH CONTRACTOR Plan Reviews Date Review Type Description Assigned To Review Status 06/28/2023 OPERATING BUILDING Approved 06/28/2023 OPERATING FIRE In Review Fees Fee Description Notes Amount Processing/Technology $25.00 Credit Card Service $0.75 Total $25.75 Payments Date Paid By Description Payment Type Accepted By Amount 09/19/2023 XBP Conf: $25.00 154254401 09/19/2023 154254401 Raelynn Jones $0.75 Outstanding Balance $0.00 Notes Date Note Created By: 12/22/2023 inspection was complete with Mechanical BLD5435 Hannah Hardwick 09/19/2023 Received contractor's COA license info. Kristin Foster 08/24/2023 Emailed follow up for business license. Kristin Foster 07/07/2023 Contractor needs COA business license-emailed info Kristin Foster Uploaded Files Date File Name 09/20/2023 16941160-20230706 BLD5443 CompleteOperatingPermit.pdf 09/20/2023 16941159-20230706 BLD5543 ApprovedSpecs.pdf 06/28/2023 15919454-20230627 BLD5443 Specs.PDF 06/28/2023 15919455-20230627 BLD5443 TankSpecs.pdf 06/28/2023 15919456-20230627 BLD5443 App.pdf 06/28/2023 15919457-20230627 BLD5443 SitePlan.pdf