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the EL*rgrem <br />CITY OF <br />PONSTRUCTION <br />S3S� <br />everett <br />PERMIT <br />PERMIT NQ:=-� <br />259-8745 <br />❑ DEMOLITION <br />❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />Union Oil of <br />California Los Angeles CA <br />— <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />H.E. Schmidt <br />Inc. 10335 Main St. Bellevue, WA 98004 <br />455-9770 <br />GENERAL CONTRACTOR <br />MAR ADDRESS CITY <br />ZIP <br />PHONE <br />LICENSE <br />Puget West Corp. P.O. Box 669 Edmonds, WA 98020 PUGETEC187FG <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />LICENSE• <br />CLASS OF WORK <br />L} NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />$ 148,970.00 <br />Prefab Metal Building - Poured Concrete Slab. <br />HEAT SOURCE <br />TY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />❑ ELECTRIC( <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Self serve gas/mini market <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT _ BLOCK _ OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />See sit= plan <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFOFWNCE OF CONSTRUCTION. ; <br />SIGNATURE OF CONT �OR, A HW ORIZED AGENT. OR DINNER pAT <br />/ <br />JOB ADDRESS <br />X <br />304 SE Everett Mall Way <br />• <br />PLUMBING <br />MECHANICAL <br />NO, <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A'C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS — H P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS — 6.T. U./H P. <br />GAS FIRED A C. UNITS — B T.0 <br />SHOWER <br />FORCED AIR SYSTEMS — B T.U. M EA <br />_ <br />KITCHEN SINK 6 0) SP. <br />DISHWASHER <br />WALL HEATERS —BT.U. M <br />UNIT HEATERS — 8.T U M <br />LAUNDRY TRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />URINAL <br />DP;NKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE FOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />UL <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />METAL FIREPLACE 6 CHIMNS* I K <br />SINK (SERVICE —BAR, ETC) <br />IU t1Jfs1 <br />FIREPLACE INSERT <br />_ <br />HEAT PUMP t' b Ylil <br />GAS PIPING L' SLY YJ <br />EXHAUSTFAN L ShLi1 1J <br />UUGo� . <br />SUB YU M <br />LU <br />SUE TOTAL <br />$ <br />PERMIT <br />S <br />PERMOT1 i 1—.) <br />TOTALPitil <br />TOTAL FEE <br />f <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />N/A <br />N/A <br />N/A <br />87/18381 <br />527;11 5 <br />86 S <br />.,.,, L ILL, <br />USEZONE <br />LOT AREA <br />4.4A <br />VACANT SITE <br />FEES <br />VALUATION <br />- FEE <br />BUILDING <br />$"DA 176-00 <br />811 <br />00 <br />C-1 <br />DYES C9440 <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />B-1/B-2 <br />NO OFDWELUNG UNITS <br />0 <br />U X,U <br />-ro <br />V—N <br />PLUMBING <br />rl <br />SIZE OF SLOG <br />300 <br />NO. OF STORIES <br />1 <br />MAX OCC LOAD <br />N/A <br />MECHANICAL <br />E SRCH 41_ <br />•DD <br />INVESTIGATION FEES) <br />STATE BUILDING SURCHARGE <br />II7 i—S 9s1��.°I <br />3 <br />50 <br />FIRE SPRINKLERS RECUIRED YES NO <br />1100005477 <br />STATE ENERGY SURCHARGE <br />r <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE DV <br />DRIVEWAY PERMIT <br />- <br />000035476 <br />TOTAL <br />Hltnr Y <br />.UU 829 <br />50 <br />S.H. <br />B.E. <br />L.C. <br />PERMIT VALIDATION <br />C <br />WHEN PROPERLY VALIDATED (IN IRIS SPACE) THIS'Iw YOUR PERMIT <br />PWINSP $565.00 <br />P00005478 00 <br />'kCOIJ M <br />ADDRESS FILE <br />