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♦, i <br /> . � 1 <br /> 'h�`,���`�F � CONSTRUCTIO�' � <br /> ���1 ��� P�RMIT PERMIT NO. 12O6S <br /> GTY NALL'.59�8765 � <br /> EVERETT, JJ/.9820� ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MRiL AppRE55 GTY ZIP PHONE � <br /> Cheve�.ron USA Inc. P.O. Box 22D Seattle 98111 628-5222 � <br /> Aq�MiiEGT Oq )ESIGNER MAIL�D�RESS dTV 21P FHONE � <br /> GENERAL GONiRAGTOR MAIL ApDRE55 GIiY ZIP PNONE LIGEN:F� I <br /> MECMANICAI CONTRAGTOR MAIL ADDPE55 GTV ZIV PMONE UGENSE� � <br /> ' PLUFIBING GONTRRGTOR MPIL ADDRESS GTV 21P PMONE UGENSE� �I <br /> CLASS GF WORK <br /> O NEW �ADDITION D ALTERATION C REPAIR � DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUnTION OF WORN <br /> ! 20� 00�. �� <br /> DESCRIBE WORK <br /> A3d 6 ' x 12 ' booth to um island <br /> PROPOSED IISE OF BUILDING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIWIONOFPROPERTTISMOWBELOWORATiA�HfOUFCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ZjorthrueL���) 747bF Everett Land Company' s 1 tGOVERNING 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 TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF STRUCTION. <br /> JOB ADDflESS SIGNAT NTRn F 0 A ORIZEO PGENT 4- �ATE <br /> 3105 Broadway X V"��� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITE�d FEE NO. TVPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILET) AIR COND.UNITS— H.P.EA. <br /> BATMTU9 REFRIGERATION UNITS— H.P.EA. <br /> LAVATORV(WASM BASIN) BOILEr75— N.P. EA. <br /> SHOWER GAS FIRED A.Q UNITS —TONNAGE EA. _ <br /> KITCHEN SINK6 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDFV TflAY UNIT HEATERS— B.7.U. M _ <br /> CLOTHES WASHER EVAPORATIVE COOLERS ' <br /> WATER MEATER CLOTMES DRYERS <br /> URINRL VENTILAiION FAN <br /> DRINNING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR NANDLING UNIT— GF.M. <br /> VNCUUM BREAKEPS STOVE—WOOD <br /> ROOF DRAINS — RAR�LEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE — BAR, ETC.) FIREPLACE INSEI7T <br /> HEAT PUMP <br /> SUBTOTAL ' SUBTOTAL f <br />` PEHMI7 f PEHMIT f <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE VAPD SETBACK STREEi SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CIiECK FEE <br /> N�A N/A N/A FEE RECEIPTNO. <br /> USEZONE LOTAREA �ACANTSITE B3 12068 �_3� C2�267 <br /> L._1 ��:VES XxNO <br /> FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> III II-N KIOSK B-2 O BUILDING $ 20 ,000. 140 50 <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC. LOAD <br /> 1 PLUMBING 4 OO <br />'I � FIRE20NE BASEMENT FIRE SPRINKLERS MECMANICAL <br /> REOUIRED � SO <br /> VES 7PiD <br /> APPROVALS BV DATE OTHEH <br />� UBC. <br />� 1. ENVIRONMEN7AL CHECK LIST PENALTY SEC.303(a) <br /> 2.BUILDING PLANS T�TA� ZS 2 OO <br /> 3.FIHE HVDflANT <br /> � d.FIRE PROTECTION SYSiEM PERMIT VALIDATION <br /> WHEN PROPEflLY VALIDATED(IN THIS SPACE)TH�S IS VCOUR PERMIT �r}� <br /> S.GRADING O � � b E I J �.O O �� `�' <br /> 6.DRAINAGE Q <br /> 7.ENVIRONMENTALIMPACTSTATEMENT (V <br /> B.HEALTM DISTRICT � [—� <br />� APPLICATION AGC.BY PIANS CHEGKED BY APPR. FOR ISSUANCE BY 1 O U R REC E I PT <br />` STG HWM LC Ti-!/�NK YOU <br /> I' <br />� ADDRESS FILC ' � A� a� <br />