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� <br /> d,, e�,�.��.���n <br /> e�ere�tt � �ONSTRUCTIOP � <br /> c�r�MAuzs�R�.s PERMIT PERMIT NO. 1371H <br /> eveRer-. wa aeso� � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBINO <br /> OWNEN MAIL�pDRL55 <br /> Perpetual Help Church "T' z1� PnONE <br /> r. 2619 Cedar Everett 98201 259-2272 <br /> �RCMIIECL OR OESiGNER M�IL�DDRE55 <br /> CRr PP PnONE <br /> QENER�LMNTq�CiOR �� � MAILApDRE55 <br /> Heritnqe Conetruction 12014 20th Street S.E. Everett Z�P PNONE IICENSE� <br /> 98205 334-7044 <br /> MECM�NIC�L WNiR�CiOH M�IL RPORE55 <br /> CITY ZIP PMONE LICENSE 1 <br /> PLUMBINO GONTq�CTOR HERITC*169DA � <br /> M�IL AOORE55 CRY ZiP PHONE LILENSE I <br /> f.��SS Of WOPIt <br /> ❑NEW ❑ADDITION ❑ p�TERATION j(�(f qEPAIR CI DEMOL1710N ❑ FEMCE ❑ SIGN O WOOD SfOVE/FIREPLACE INSERI <br /> VAW�iION OF WORI( - <br /> f 22����.�0 <br /> DESCRIBE WOqN <br /> Foundetion repair <br /> PROPOSEO USE OF pVILDIHO <br /> Church Hall I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEG�LOESCRIPTIONOFPpUPERtY�9MOWBEIOWOR�Tt�CHFpURCOPIES� APPLICATION AND KNOW THE SAME TO BE TFUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_eiocn_or GOVERNING THIS TYNE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT FRESUME TO GIVE AUTHOPITY TO VIOLATE <br /> OF CPNCEL THE PROVIS�ONS OF ANV OTh�ER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> JOB�DDNESS PERFORMANCE OF CONSTRUCTION. <br /> � _ SIGNAipR OF C Tq�CiO ON AUIMOPIZEO AGENT O�iF <br /> �� / ��v .S X•'� l / <br /> PLUMBINO MECHANI L <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT <br /> WATER CLOSEi(TOILET) FEE <br /> AIR COND. UNITS - MP. EA <br /> BATHTUB <br /> ___ __ REFRIGERATION UNITS -- H.P.EA. <br /> LAVATORY�WASH9ASIN� BOILERS- HP. EA. � <br /> SMOWER OAS FIRED A.C. UYITS - TONNROE EA. <br /> _ NITCHEN SINN 6 DISP. FOHCED AIR SYSTEMS - B.T.U. M EA. <br /> DISHWASHER <br /> UUNDRV Tqqy - WA��MEATEFS- B.T.U. M <br /> --- UNIT MEATERS�- B T.U. M <br /> CLOTMES WASMER EVAPOPATIVE COOLERS <br /> WATER MEATER CLOTMES DRYERS <br /> URINAL — - <br /> _ VENTILATION FAN <br /> ORINNING FOUNTAiN RANGE IIOOD <br /> FLOOF URAIN <br /> - AIR MAN�LING UNIT- C.F.M. <br /> VACUUM BRE�NEFS STOVE - <br /> WOOD <br /> ROOF DRAINS- RAINLEADERS METAL FIflEPLACE 6 CMIMNEV <br /> SINK�SERVICE- BAR,ETQ) FIREPLACE INSERT <br /> — HEAT PUMP <br /> SUB TOTAL __ ; SUB TOTRL � <br /> _ __ PERMIT ____ { __ '- PERMIT F — <br /> TOTAL FEE f 10TAL FEE { <br /> SIUE YARD SETBACN STREFT$ETBACn REAR YpRD SETBACN PLAN CMECH NUMBER <br /> PLRN CMECN FEE <br /> USE ZON! �pT pqEq--- ---- BO�13�18 FE�9.13 RECEIPi NO <br /> VACANi SITE .___ —�1111 <br /> YES NO FEES VpIURTION FEE <br /> 1YPE OF CONST OCCUPANCI'GFOUP NO. OF OWELLING UNITS <br /> V-1 Hr. A 2.1 0 ----- —._ _. - _ .--- <br /> SIZE pF BL�('i NO.OF STORIFS MAX OCC I OAO _ BUILDING S ZZ�O00. ZSZ SO <br /> N/A --- 1 N,iA PwnteiNc ---- —.. . . - - - - <br /> FlFE ZpNE BASEMENT FIRE SPRINNLENS -�-- - -- - . <br /> REOIIIREG MECHANICAL � <br /> �� YES NO — <br /> APPROV11L5 BY DATE OTHER <br /> 1 ENVIRONIAENTAL CNECN LIST ��� � —- <br /> __-_..._ .. ._ _— __"_- ' . _ —_ <br /> ----- PENALTY UBC <br /> BUILDING PLANS <br /> � _ _ SEC 303�a� <br /> —_—_.____"_ _ _____ <br /> J.FIREHV�RANT TOTpL LSZ SO <br /> 1 FIRE 7ROTECTIpN SYSTEM FERMIT VALID�TION <br /> 5 GRRUINU WHEN PFOPERLV VpLIDAiE�IIN TM�$6AA��THI�ISIV�Ur P�i�ryl�T___ � <br /> i_ <br /> � 6 DRAINAGE_ � � , � <br /> 7.ENVIHONMENTAL IMPACT STATEMEM r_ <br /> B.NEALTM DISTRICT .. . '. I �.� <br /> APPLICATION �CC BY PLANS CMECNED BY APPR. FOPISSUANCE BV ' � : <br /> sTc riwnt L� ' <br /> ,,ni,���, , � _ <br />