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�i . <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 J hp�,�, �Q <br />425-257-8810 — FAJC 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8�4M TO 4 PM - DEBIT 8� CREDIT CARDS ARE NOT ACCEPTED <br />SITE ADDRESS <br />220 S.E. EVERETT MALL WAY <br />LEGAL LOT NO. BLOCK <br />DESC. 2 014 <br />BP WESTCOAST PRODUCTS <br />TENANT NAME <br />ARCO AM/PM <br />CONTRACTOR <br />TO BE DETERMINED <br />CONTR. LICENSE # <br />1 PARCEL TAX I.D. # <br />004802-014-002 <br />TRACT <br />INTERCITY DIV. 1 <br />AI)DRESS <br />4 CENTERPOINTE DR. <br />C(�NTACT FOR PERMIT <br />JOEL HOWITT c/o <br />BARGHAUSEN CONS. <br />AUDRESS <br />PERMIT # <br />LA PALMA, 90623 <br />PHONE <br />ENGINEERS (425)251-6222 <br />CITY/ZIP PHONE <br />USE OF BUILDING � HEAT SOURCE CONTRACT PRICE OF WORK <br />AUTOMOBILE SERVICE STATION <br />_�Electric Gas Other �' `- �s <br />CONVEINIENCE STORE — — �- <br />WORK DESCRIPTION <br />EXTEND EXISTING FUELING ISLAND CANOPY OVER TWO NEW MULTI–PRODUCT DISPENSERS (6 TOTAL), <br />EXTEND UNDERGROUND PIPING AND CLOSE EXISTING CURB CUT TO 3RD AVE. �M�p � T�'rt'T'"TnR A� F^T'L'L <br />SIGNAGE RE–IMAGING TO BE CONDUCTED UNDER SEPARATE PERMIT APPLICATION. <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />Toilet <br />Bathtub <br />Lavatory (wash basin) <br />Shower <br />Kitchen sink & disposal <br />Dishwasher <br />Clothes washer <br />Laundry tray <br />Sink (service/bar/mop/etc.) <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Other <br />NO. <br />X <br />MECHANICAL <br />TYPE OF FIXTURE OR ITEM <br />A/C – air handling units <br />Forced air systems <br />Gas piping– FOR FUEL DISPENSERS <br />Water heater <br />Gas fireplace <br />Gas range <br />lothes dryer <br />R ge hood <br />Exh ust fan <br />Heat mp <br />Unit hea r <br />Boiler <br />Refrigeration <br />Woodstove <br />Other 2 NEI <br />CITY OF EVER:ETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceritify that I have read and examined this application and know the same to be true and correct. All provisions of laws and <br />ordinaces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume <br />to give authority to violate or cancel the provision of any other state or local law regulating construction or the performance of <br />construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the <br />S ate Contractors Law 18.27 RCW and 296.200 WAC. <br />`i i <br />� <br />„ , _�.-- ------( � �� �,, � � i i J 6 `-( <br />Sigriature of Owner/Contractor/Authorized Agent ate �� <br />Z <br />