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`�Q��" "' C�NSTRUCTION � o n <br /> CITY OF - <br /> everett PERMIT PERMITNQ:_ � U�J � <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILOING ❑ MECHANICAL ❑ PLUMBING � SIGN <br /> owr+en Mniinooness cirr nr rnor+e <br /> Christian & Missionary alliznce Church 2125 Colby Everett, WA 98201 252-3968 <br /> pRLHITECi OR DESIGNER MrIIL ADOR[55 GTV ZIP �HONE <br /> GEN[RRLCONTRACiCR M41lPDORE55 CITY ZIY PHONE LICENSE� <br /> Same <br /> MECN�NICr1LCONiHnGTON MRILr100RE55 CITY ZIP PNONE LICENSE• <br /> PLUMBiNG CDNTMCTOP 'AAIL AO�R[SS CITY ZI� PNONE LICENS[� <br /> CLASS CF\VOPM <br /> '�'NEW ❑ ADDITION F�ALTERATION $#REPAIR ❑ DEM��LITION ❑ BUILDING HELOCA'ION <br /> VALUNTiONOf WORN <br /> S 12r��� __ <br /> oeseaioe wonK <br /> Shim roof and reroof <br /> Menrsounee <br /> ❑ ELECTRICITY ❑ GA:i ❑ WOOOSTOVE ❑ OTHER <br /> rnovosEouseorouaoiHc I HEREBY CERTIFY THAT I HAVE READ AND EXAMWE D THIS <br /> church APPLICATIUN AND KNOIN THE SAME TO BE TRLE AND <br /> LEG�LOESCRIPTIONOfMOFERTYISHOWB[�Ow01iATTACHfOURC04'IE51 CORRECT. ALL PROVISIONS OF LAWS AND OfiDIPANCES <br /> 12-1 435 Everett GOVERNING THtS TYPE OF WORK WILL BE COMPLIE� WITH <br /> LOT_ELOCN _OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIN u OF A <br /> PERMIT DOES NOT PR�SUME TO GIVE AUTHORTY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LP.W FEGULATING CONSTRUCTIDN OR <br /> TH ERFORMANCE GF CONSTR�CTION. <br /> SiGN T�R[OPCONTR i i.AUTMORRED ENi.OROWNER D.TE <br /> JOBNDDR[55 <br /> 2125 Colbv Ave X 9•_14-87 <br /> PLUM9ING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FE E <br /> WATER CLOSET�TOILET� A�C—A�hNDLG UNITS—M P. <br /> �.4T11TUB � REFNIGERATION UNITS—H P.EA. <br /> LAVATORV I�vASH BASIN) flOILERS—BS.0 iH P. <br /> SNOWER GASFlREDA�C UNITS—B7.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEb�$—B T.U. h1 EA <br /> DISHWASHER WALLHEATflRS—B.TU. M <br /> LAUNDRY TRAV UNIT NEATERS—8 T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> ORINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACNFLOW PRFVENTEFS WATCR HEATER • <br /> ROOF ORAINS—RAINIEADERS WO00 STOVE <br /> SINK�SERVICE—BnR,ETC.) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PENMIT S PERMIT <br /> TOTALFEE S TOTALFEE , <br /> �aONrsetoncK nEnRs[rencK SiDESEToaGK PLANCHECNNUMPER FEE RECEIPTNG. <br /> IISEZONE LOTAREA �qCRNT5ITE FEES VALUATION FEl' <br /> ❑YES ❑NO <br /> TVPEOFCONST OCCUPANCYGPOUP NOOFDIYELLINGUNITS BUILDING S 12�000 13S OO <br /> PLUMBING � ' -� �'����' '�� ' <br /> 512EOFBLDG NO.OFSTORiES RIAN.00C �04� <br /> MECHANICAL <br /> INVES7IGATION FEE S�e.JOd(e) �� - ,��� <br /> FIRESPRINKIEASREOUIRED YES ❑NO STATEBUILDINGSURCHARGE ' �� � �� 3 SO <br /> STATEENERGYSURCHARGE � <br /> AFPLICATIONACGOY PLANSCHECREDDY APPPf011155URNCEOY <br /> ORIVEWAY PERMIT <br /> M �� TOTAL 138 50 <br /> PERMIT VALIDATION <br /> WNEN PROPERLY VAl!DATEO�W THIS SPACE)THIS IS YOUR PERMI ' <br /> r' <br /> �n <br /> �� <br /> � <br /> !� <br />