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10/07;222003 ITT 9:17 FAX <br />EVERET-I' FIRE DEPARTMENT <br />�TP�� APPLICATION FOR A PERMIT <br />A minimum of one business day is required for processing) <br />Octcber7,2008 <br />Robert McNeill, Senior Planner, Barghausen Consulting Engineers, In( <br />Application is hereby made by do Fred Meyer Stores, Inc. 3800 SE 22nd Avenue, Portland OR97202 <br />(Firm or Applimnl Nmne • Plcosc Print) <br />for a permit to conduct the following activities or processes: <br />Install USTs / Operate Retail Fueling Facility <br />in or on the premises at: 12906 19th Avenue S.E. (Bothell -Everett Highway) <br />(Address wOcm pemiiue(t activity will lake place) <br />Inclusive dates of permitted process From: <br />To: <br />ICJ 002/002 <br />Describe what this permit is for and what materials will be used if the permit involves a process: <br />Construct a retail fueling facility with a 24- by 144-foot fuel canopy (3,456 square feet), an 8- by 14-foot cashier's kiosk (112 square <br />-feet)-and-five (5)'malt1-prodvctdispensers-(Mf Bft-Theprojectahocaiisforthe-installation-oftwQt-2) andergroartd storageeertks- <br />(USTs), one Z.0)&QQ-_Wllon UST for _renular unleade f fu I and o�___ne 180(b.g-+ Inn <pW_dual U5i(L0MQLB,Q0QUordieSeLand <br />supreme unleaded fuel. Additional improvements include asphalt paving, lot lights, signage and utility connections. Contractors <br />taTor— nTc Instal atwn and tacility construction are <br />The oroiect has undergone SEPA review; receiving a Final Mitigated Determination of Non -Significance on October 3, 2008 (see <br />copy attached). This project will fully comply with all mitigated conditions specified therein. n <br />Complete plans and cm-struction details must be filed on all major projects and when requested by the Fire <br />Prevention Bureau. <br />Cmtd-krons,sviti•rouudinCs and art nnttements are to be in accordance with the International Fire Code. <br />Robert McNeill, Senior Planner Barghausen Consulting Engineers, Inc. 18215 72nd Ave S, Kent WA 98032 425-656-1061 <br />c/o Fred Meyer Stores, Inc. 3800 SE 22nd Ave, Portland OR 97202 503-797-5617 <br />Mailing Address or Applicant (if different front location of millincd pracess) <br />Permit Number Date Issued 20 <br />Sequence N: —I <br />Everett Fire Department return fax number: (425) 257-8139 <br />