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� <br /> 1Ne£�•cr�recn ' <br /> e�erett I ��aNSTRUCTI� ^ � <br /> CITYNA�L259�8765 PERMI T PERMIT NO. 144H�. <br /> E\'ERETT,WA98201 [] COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER AtAILApDRE55 GIiV 21P PMONE <br /> Plaid Pantry 2540 N.E, Riverside Way Portland 97211 503-288-9216 <br /> RRLMITELT OF DESIGNEN MqIL AODRESS CITY ZIP prypryE � <br /> r <br /> GENERALCONTRnGTOR MAI�AODRESS CITV ZIP PMONE UCENSEM <br /> Westwood Corp. 7611 S 180th Kent 98032 251-0638 � <br /> MELHANiCAL CONTflAC70R MAI�ApOPE55 LITY ZIP PHONE UCENSE N <br /> WE57WED161PR . <br /> � PLLIMBING CONTRAGTOfl MAIL ApOPESS GITY ZIP PNONE LICENSE M <br /> CLASS OF WOHN � <br /> O NEW ❑ADDI710N O ALTEHA710N ❑REPAIR �DEMOLITION ❑ FENCE ❑ �IGN ❑ WOOD STOVFJFIREPLACE INEERT <br /> VAWATION OF WDRN -- , <br /> f <br /> OESGRIBE WORK � <br /> Demolition of existing service station, gas islands <br /> PROPOSEO USE OF pUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> IEGALDESCRiPTIONOFPROPERTY�SMOWBELOWORATTACNFOURCOPIES� APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND <br /> 29-30-31 336 Everett Div. "N" CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocn_oF GOVERNWG THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TG VIOLATE <br /> OR CANCEL THE PROViSIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR iHE • <br /> PERFORMA E OF CONSTRUCTION. <br /> JCOr1DSR[5$ SIGNATUREOF fRACT THO AGENT / [j i <br /> 1604 Brondwny X 2 20i�� <br /> PLUMBING MECHANIC L <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEFCLOSET(TOILEn AIR COND. UNITS — H.P. EA. <br /> BA7HTUB PEFRIGERATION UNITS— H.P, EA. <br /> LAVATORY�WASH BASIN) �OILERS— M.P. EA. <br /> SHOVlER GAS FIRED A.C.UNItS—TONNAGE EA. <br /> NITCNEN SINK 8 DISP. FORCED Alq SYSTEMS— B.T.U. M EA. <br /> DISHWASMER WALL HEATERS— B.T.U. M <br /> LAUNDRV TRAY UNIT HEATENS— B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS � <br /> WATER HEATER CLOTMES DRYERS <br /> URINAL VENTILATION FAN � <br /> DRINKING FOUNTAIN FANGE MO00 <br /> FLOOR DRAIN AIR HANDUNG UNIT— <br /> QF.M. <br /> VACUUM BREAKERS STOVE —WOOD <br /> ROOF DRAINS— RAINLEAOERS METAL FIREPLACE 8 CHIMNEY <br /> SINK�SERVICE— BAR,ETC.) FIREPLACE INSERT <br /> HEA7 PUA1P <br /> SUB tOTAL S SUB TOTAL S <br /> PERMIT S PERMIT S ' <br /> TOTALrtF S TOTAL FEE S <br /> SIDE VARD SETBACK STREETSETBACK REhR YARD SETBACK PLAN CHECK NUMBER P�AN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SI7E <br /> f-�.VES uN0 FEEn VALUIITION FEE <br /> T�PE OF CONST. OGCUPANCY GROUP NO.OF DW!:LIING UNITS <br /> ._ tlUILDING 5 00 00 � <br /> SIZE OF BLDG. N0.OF:TORIES MA%.OCC. LOAD _ <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLEHS MEGMANICAL <br /> IiEOUIRED <br /> VES : .NO <br /> , APPHOVALS BY OATE <br /> OTHER �" <br /> 1. ENVIRONMENTAL CHECK LIST pENALTY U.B C. <br /> 2.dUILDING PLANS SEC.3JJ la) <br /> 3.FIREHVDRANT TOTAL OO OO <br /> d.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPEflLY VALIDATED(IN THIS SPAGE)THIS IS YqUfl PERMIT _ � � <br /> 6.DRAINAGE � ' �- '� � <br /> L 7.ENVIRONMENTALIMPACTSTATEMENT "':t' <br /> 8.HEALTM DISTRICT �S� <br /> APPLICA7lON ACC. BY PLANS CMECKED BY APPR.F DR ISSUANCE BY � � �,i � •'' <br /> � i , <br /> ADDRE55 FILE <br /> J <br />