BROADWAY E 6215 PROPANE TANK & DISPENSING
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BUILDiNC PERMIT APPLICATION WORKSHEET
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOD UNDERS"rAND
(Please return this original and your building plans to the Department of 8uilding and Satety)
~
1 ,74 r's Name (last) (hrst) (~n) pepartmBnt UseOnly
.
7- ~ x , . r H , ~ / / F~ i•. ~ Comm
2 Proji,ct dress (not t~l3iliny Addresa) or Raad NamB Space Zip -
e'p C. - ~i v e / ' `y_ A~-)l✓e e. ~ 3 GtylCommunity ~ State Subdivision/Plat Name /
4 As.9essof Parcel No. Lot Block
OEPARTMENT USE ONLY t i► 1►
5 Sic Code Zone Act. N Zone r ProJect No.
f v~.•(' /V ~j
~ 6 Owell k No. ot Buiidings ~ Sq. Ft./ACre Depth ~ Frontage
~ 7 Set 8xk-Front i (L)S-1 ~ (R)S2 Rear Oansus Tract Module No. Inltials
~ (U 10 ` , J iv rY1
* 16 Architect Flrm Name Street Address . . *
Zip Cdty State Phone
~k
Contact Person Phone If different than above
( 1
Contractor Firm Name V Street Address
Zip Gty State Phone
( )
Contact Person ~~Wcense No. Phone If different than above
~ , ( 1
g Owner/Agent (if ditf~ r~t than M1 ov BusinesE Address
c~ 4 A
g Zip ~ity / State Phone
12 Review Required Check (YIN Other (Y!N) i SEPA Exempt (YIN) Oate
15 Type Work O Bldg ~ 0 MH O New ❑ Fieplace 0 Other
❑ Flre~~ Q Qemo 1-i Add/Alter O Move
14 Descriae Work
~ ~ • /'7 N ~'C
Ci~..r~
~-~1$--A Itcanf Name f Street Address
~-~...^T - /,:v U GcJ
11 Zip C1~y Stata Phone '
S
l
* Lender Street Address *
21p Cily State Phone
( ~ .
Contact P~n 1 Phone if different than above
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Adclihonal Information
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DEPARTrVIENT APPROVALS
. This is not a Permit Appl(cation Type
(Standard unlesa (Indlcated approvals required in either "release" or "release with conditions"
otherwise indicated) space prior to permit issuance.) . ,
Fast Track
~ Early Start, Release
. Release w/cond 1 Hold 2
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Environmental Neelth p Commercial; ❑ Residential
W. 1101 College ❑ New Construction; O Bldg alteration/addition .
Room 200 ❑ Additional etructure; •
APPLICATION # Cond i t lons i Com men ts:
Plannin /Zonin D Commercial; O Cert. of Exemption; O Frontage; '
9 9:
.
N. 721 Jefferson ❑ Setbacks; ' 0 lot wld; ❑ lot size; O use/zone; •
' ❑ CU, variance, zone change; shoreline; O fence; O Other ,
ConditionsJComments: .
` r Enginears: ❑ Cflmmerciai; O Resldentlal; D Flood Plaln; ~ •
N. 811 Jefferson ❑ drainage O new acceas lapproac h; - O fence;
❑ road improvements
~ Condltions/Comments: /ftu57 ~~~-rv~i,w•'?`js •4ll
r v
0 utiiities: '
N. 811 Jefferson
~F - CQndltions/Comments:
~ Other:
Plan Exam ' Ffre Prev. ,
, ConditlonslComments: ca
a~ .
❑ •
" Project Represen4atlve Telephone
N Agencles Performing Special Inspectlon:
Y O
E 2
; o
e~ r
LL
3.
1 Indicate above or attach conditlons rolatlve to final aa built approval
4 2 Indkate ebove or attech reasons for hold
U l ✓ .
80.36.080 Title 80 RCW: Public Utilities
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telephone and telegraph companies, for messages, con- kept by every telephone company and telegraph com- -
versations, services rendered and equipment and facili- pany readily accessible to and for convenient inspection "
ties supplied, whether such message, conversation or by the public at such places as may be designated by the
h service to be performed be over one company or line or commission, which schedule shall state the rates charged
aver or by two or more companies or lines, shall be fair, from such station to every other station on such compa- -
just, reasonable and sufficient, and the service so to be ny's line, or on any line controlled and used by it within
rendered any person, firm or corporation by any tele- the state. All or any of such schedules kept as aforesaid
phone or telegraph company shall be rendered anci per- shall be immediately produced by such telephone com-
~ formed in a prompt, expeditious and efficient manner pany or telegraph company upon the demand of any
and the facilities, instrumentalities and equipment fur- person. A notice printed in bold type, and stating that
nished by it shall be safe, kept in good condition and re- such schedules are on file and open to inspection by any
pair, and its appliances, instrumentalities and service person, the places where the same are kept, and that the
shall be modern, adequate, sufficient and efficient. agent will assist such person to determine from such
[1961 c 14 § 80.36.080. Prior: 1911 c 117 § 35, part; schedules any rate, toll, rental, rule-or regulation which
RRS § 10371, part.] is in force shall be kept posted by every telephone com-
pany and telegraph company in a conspicuous place in -
80.36.090' Service to be furnis6ed on demand. Ever every station or office of such company. [1961 c 14 §
telephone and- telegraph company operating in this state 80.36.100. Prior: 1911 c 117 § 36; RRS § 10372.]
~ shall provide and maintain suitable and adequate build-
ings and facilities therein, or connected therewith, for 80.36.110 Tariff c6anges Statutory notice
;
trons and~employees Exception. Unless the commission otherwise orders, no `
the accommodation, comfort" and convenienee of its pa-
change shall be made in any rate, toll, rental, contract or• .
~ Every telephone company shall, upon reasonable no- charge, which shall have been fted and published by any
tice, furnish to all persons and corporations who may telephone or telegraph company in compliance with the x
apply therefor and be reasonably entitled * thereto suit- requirements of RCW 80.36.100, except after thirty
able and proper facilities and connections for telephonic days' notice to the commission and publication for thirty .;communication and furnish telephone service as de- days as required in the. case of original schedules in
RCW 80.36.100, which notice shall plainly state the =
y; manded. [1961 c 14 § 80.36.090. Prior: 1911 c 117 § 35, changes proposed to be made in the schedule then in ~
part; RRS § 10371, part.] force, and the time when the changed rate, toll, contract
or charge will go into effect, and all proposed changes
80.36.100 Tariff schedules to be filed and open tu shall be shown by printing, filing and publishing new
'public. Every telephone and telegraph company shall file schedules, or shall be plainly indicated upon the sched- ~
with the commission and shall print and keep open to ules in force at the time and kept open to public inspec- ~
public inspection at such points as the commission may tion. The commission for good cause shown may allow
designate, schedules showing the rates, tolls, rentals, changes in rates, charges, tolls, rentals or contracts
contracts and charges of such companies for messages, without requiring the thirty days' notice and publication '.q
conversationsoand services rendered and equipment and herein provided for, by an order specifying the change so
facilities supplied for messages and services to be per- to be made and the time when it shall take effect, and
formed within the state between each point upon its line the manner in which the same sha11 -be filed and pub- °
and all other points thereon, and between each point lished. When any change is made in any rate, toll, con-
~ upon its line and all points upon every other similar line . tract, rental or charge, the. effect of which is to increase ;
µa operated or controlled by it, and between each point on any rate, toll, rantal or charge then existing, attention
its line or upon any line leased, operated or controlled by shall be directed on the copy filed with the commission it and all points upon the line of any other similar com- to such increase by some character immediately preced- ~
41" pany, whenever a through service and joint rate shall ing or following the item in such schedule, which char-
*
have been established or ordered between any two such acter shall be in such form as the commission may i
points. If no joint rate covering a through service has designate. [ 1961 c 14 § 80,36.110. Prior: 1911 c 117 §
been established, the several companies in such through 37; RRS § 10373.] . ,
service shall fite, print and keep open to public inspec- '
tion as aforesaid the separately established rates, tolls, 80.36.120 Joint rates, contracts, etc. The names of
, rentals, contracts and charges applicable for such the several companies which are parties * to any joint ~ through service. The schedules printed as aforesaid shall rates, tolls, contracts or charges of telephone companies
plainly state the places between which telephone or tele- and telegraph companies for messages, conversations
" graph service, or both, will be rendered, and shall also and service to be rendered shall be specified therein, and '
state separately all charges and all privileges or facilities each of the parties thereto, other than the one filing the '
Qgranted or allowed, and any rules or regulations or forms same, shall file with the commission such evidence of '
of contract which may in anywise change, affect or de- concurrence therein or acceptance thereof as may be re- . termine any of the aggregate of the rates, tolls, rentals , quired or approved by the commission; and where such
or charges for the service rendered. A schedule shall be evidence of concurrence or acceptance is filed, it shall
Rplainly printed ig large type, and a copy thereof shall be not be necessary for the companies filing the same to
(I'ide 80 RCW-p 301 (1983 Ed.)
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