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thr 6'ccrrrren <br /> everett ��' �ONSTRUCTIO� � <br /> C!iYHALL259�87d5 PERMIT � PERMir No. 16492 <br /> EVERE7T.WA 98201 [] COMBINATION L� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER NniL 4DORESS CRY Z�P PHONE <br /> �xxon Company, USA c/o Jim Harrioon at architect's <br /> RRGMITECT OR DESiGNER MAIL qDOPESS - <br /> 6ush, Roed and Hitchinys 2009 Minor Ave E Seattle, WA 96102 323-9144 <br /> GENERAI CONTRRGTOR MAIL ADURESS CiTY 21P PMONE LIGENSE� <br /> MECH�NIGAL GONTRpCTOR MRIL�DOFESS CIT� IIP PHONE LICENSE I <br /> PLUMBING CANTRRGTOR MAIL ADORE65 CITY 21P PMONE LICENSE I <br /> Gl/•55 OF WORN <br /> O NEW ❑ ADDITION O ALTERATION ❑REPAIR � DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VFWFTION OF WOHK <br /> s �SBXBQQYBOX <br /> D_SCRIBE WOqN <br /> Demolition of old as station <br /> GROPOSEU USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> L[GRLDESORIPfIONOFPqOPENTY�SHOWBELOWORATTpGMFDURCOPIE$1 APP�ICATION AND KNOW THE SAME TO BE TRUE ANG <br /> CORRECT. AlL PROV!SIONS OF LAWS AND ORDINANCES <br /> ��T__BLOCK_OF GOVERNI�dG THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECiFIED HEREIN OR NOT. iHE GRANTING OF A <br /> see attached PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPT[ OR <br /> LOCAL LAW REGULATING CONSTRUCT�ON OR THE <br /> ERFORMANC F CONSTFiUCTION. <br /> J00 ADDRESS qiURE QF CONi 4 OR OR AUTMORIZE�AGENT ORIE <br /> 3027 Broadwa X � �j-""� _�(o <br /> PLUMBING MEC AL <br /> NO. TYPE OF FIXTURF QR ITEM FEE N0. 7YPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn A ON�. UNITS— H.R EA. <br /> PATHTUB R'c�FIGEFATION UNITS — H,F. LA. <br /> LAVA70RV(WASH BASINI BOREPS — M.P. EA. <br /> SNOWER GAS FIRED A.C.UNITS— TONNAGE EA. <br /> KI7CMEN SINK E DISP. FORCED AIR SVSTEMS—� B.T.U. M EA. <br /> DISHWASHEH WALL HEATERS— B.T.U. M <br /> LAUNDRVTRAV UNIT HEATERS— 9T.U. M <br /> CLOfHESN/ASHER EVAPORATIVE COOLERS <br /> WATER HEA7ER CLOTHES DRVERS <br /> _ URINAL VENTILATION FAN <br /> �RINKING FOUNTAIN qANGE HOOD <br /> FLOOR DRAIN AIR HAI�DLING UNIT— C.F.M. <br /> VACUUM BREANERS STOVE — WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE R CHIMNEY <br /> SINN(SERVICE — BAR, ETW PIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL f <br /> PERMIT f PERMIT f <br /> TOTALFEE f TOTALFEE S <br /> SIDE YARD SETBACK SiHF.ET SETBACK REAq YApD SFrBACK PLAN CHECK NUMBER PLAN CNECK FEE <br /> FEE I RECEIPT NO. <br /> USE 20NE LOT AREA VACANT SITE <br /> :. YES ; IJO FEES VALUATION FEE <br /> TYPE OP CUNST. OCCUPANCY GROUP NO.OF DR'ELLING UNITS <br /> BUILD'YG a <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAD — ' <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPqINKLERS -- -- '— <br /> HEOUIRED MEGMANICAL <br /> YES NO <br /> APPROVALS 8Y DATE OTHER <br /> i. ENVIRONMENTAL CMECK L15T FENALTV U.B.C. <br /> 2.BUILDING 7LAN5 � SEC.303�a) —� <br /> 3.FIREMVDPANT iOTAL <br /> I <br /> a.FIRE PROTECTION SYSTEM PERMIT V4LIDATION <br /> 5.GRFDING � WHEN ?ROPERLY VALIDATED(IN THIS SPAC,E)THIS�jS�'�lq PE�IdiT _ + ' <br /> B.DRAINFGE 3 L . � 6 T I� <br /> 7.ENYIRONMEN�iALIMPACTSTATEMENT ' <br /> 6.HEALTH DISTRICT � �"• <br /> APPL'CATION ACC. BY PLANS CYECKED BY APPF.FOR ISSUANCE BV � ' ' <br /> L.C. <br /> ��.DDRESS �ILE <br /> � <br /> _ — _ � _ <br />