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helEh•e rt!n <br />T, <br />�f, l7Y UI <br />e�leicett <br />CITY HALL, 2,559--8745 � <br />C CIERE�•]'2"f'� $Vj <br />CONSTRUCTIO"1 <br />PERMIT <br />d(96116NATION ❑ BUILDING ❑ MECHANICAL <br />PERMIT NO. 15611 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />TIME OIL CO. PO BOX 24447 SEATTLE WA 98124 285-2400 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY :I, PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZAP PHONE LICENSE( <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />,:LASS OF WORK <br />j'L�� <br />C }VEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE ❑ SIGN 0 WOOD STOVE, FIREPLACE INSERT <br />: 140,000.00 <br />Convenience store and gasoline service station <br />PROPOSED USE OF BUILDING <br />Convenience store <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIO14 AND KNOW THE. SAME TO BE TRUE ANDCORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SP F ED HEREIN OR NOT. THE GRANTING OF A <br />PERMITDOESNOT RES OGIVEAUTH ITYTS OLATE <br />OR CANCEL HE TI S OF ANY T ER STATE OR <br />CAL LA RE ATI CONSTR C ION OR THE <br />PE ORMA CE O C UCTION. 14 <br />SIG NA T E O C TR C R OR ORI GENT IE <br />x 11/5/85 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTAC:t FOUR COPIES) <br />LOT_BLOCK_OF <br />Lot 4 and the S 75 ft of Lot 3 Blk 22 <br />Reolat of Blocks 19, 20, 21, 22 23 24 <br />25, 26, 27, 28 South Park Addn to Everett <br />JOB ADDRESS <br />4231 Rucker <br />PLUMBING <br />MECH (CAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />4 <br />00 <br />AIR COND. UNITS - M.P. EA. <br />BATHTUB <br />REFHIGERATION UNITS - H.P. EA. <br />LAVATORY(WASH BASIN) <br />6 <br />00 <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK 6 DISP. <br />4 <br />00 <br />FORCED AIR SYSTEMS - B.T.U. M EA, <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY _ <br />UNIT HEA-FRS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />2 <br />00 <br />CLOTHES DRYERS <br />URINAL <br />3 <br />VENTILATION FAN <br />9 <br />00 <br />DRINKING FOUNTAIN <br />1 <br />RANGE HGOD <br />4 <br />50 <br />FLOOR DRAIN <br />I AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE a CHIMNEY <br />1 <br />SINK (SERVICE - BAR, ETC.) <br />2 <br />00 <br />FIREPLACE INSERT <br />Plbq fixture <br />4 <br />00 <br />HEAT PUMP <br />SUB TOTAL S <br />22 <br />00 <br />SUBTOTAL. S <br />13 <br />50 <br />PERMIT S <br />PERMIT S <br />TOTAL FEE f <br />22 <br />00 <br />TOTAL FEE i <br />13 <br />50 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CM ECK NUMBER <br />85 15611 <br />PLAN <br />FEE <br />346.45 <br />CHECK FEE <br />RECEIPT NO. <br />80965 <br />USE ZONE <br />B-2 <br />_ <br />LOT AREA <br />22,28G sf <br />VACANT SITE <br />EYES -NO <br />__ <br />FEES <br />VALUATION <br />FEE <br />— <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />B-2 <br />NO. OF DWELLING UNITS <br />BUILDING <br />S <br />DRig <br />on <br />SIZE OF BLDG. <br />2640 BE <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />55 <br />PLUMBING <br />22 <br />nn <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />MECHANICAL <br />— <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />_ <br />U B C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />_ <br />568 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVo M <br />PERMIT VALIDATION <br />WHEN P90PERLY VALIDATED UN THIS IP0 �) THIS IS YQUB PERMIT vj <br />J y 5 S U U <br />, .,.��: YOU <br />5. GRADING • <br />15. DRAINAGE v�� <br />APPR. FOR ISSUANCE_ BY <br />to <br />.. ENV�NTALIMMAa7STATEMENT <br />MItEALTy DISTRICT _ <br />PPPLICATIO ,1CQ. BY <br />llt ',-A <br />Stg1n <br />LANE; CHECKED BY <br />.Tt <br />�7ef <br />1 <br />ADDRESS FILE <br />