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��� <br /> . . . .- .. .._ .��I .��� ib�. <br /> 7he£��ergreen C^NST R U CTI O N - �� <br /> CITV OF <br /> everett PERMIT PERMIT NO. O$HH3 <br /> Citt HALL 259�8745 <br /> EVERETf.V!A 98201 ❑ COMBINATION � BUILDINC, ❑ MECHANICAL ❑ pLUMBING <br /> O W Nt q M/•IL ADPRES$ CIiV <br /> ZIP PMONF <br /> Everett Community Church 2532 Colby Everett <br /> FACNRLCTURDESiGNER MAILADORF55 CRY 2iP PMpNE <br /> GENCPAtCONTRACTOR MAILAOORESS GTY ZIP MONE LILENSE� <br /> T s T Const. 10708 Holly Drive Everett 98204 353-4994 <br /> MECNANiV.LCONiPAGT09 IAAILADpRESS Cltt ZIP PMONE tICEN5E1 <br /> I TT Co Nk *200JJ <br /> �IU�ABiN6 CANTRAGTOR MAIL A�DFE55 L�tt ZIP PNpNE LILENSE 1 <br /> C1A55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR �DGEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUATION Of WOliK <br /> F <br /> �ESCRIBE WORK <br /> Demolish church(Fire) <br /> r�orosco use oF euuoir+c <br /> I HEREBY C�RTIFY THAT I HP,VE READ AND EXAMINED THIS AP� <br /> i.ecnioeseaiarioi�oFraoPearrisHwieeiowoAnnneHvouncoarts� PLICATION .4ND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ia, 17 ]q�K 56]oF l�qpyypu fpY�a ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WURK WILL BE COMPLIED WITH WHETHER SPECIfIED <br /> Rucker' s lat Plat HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PFESUME TO GIVE AUTHORiTY TO VIOLATE OR CANCEL THE PRO� i <br /> VISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING <br /> Tax No. 5629-561-017-0007 CONSTRUCTION OR THE PERFORMANCE OF CONSTRL'CTION. <br /> �Cf3a�DR[55 SiGNAtUFzOFCONiP>CiOROqAUiHOPiZ[DAGENi DAiE <br /> 2532 Colby X � 2/17/81 <br /> PLUMBIN(3 MECHANICAL I <br /> NO. TYPE OF FIXTURE Ofl ITEM FEE N0. TYPE OF EOUIPMENT FEE i <br /> WATER CLOSET(TOI�Ef) AIR CAND.UfJITS—H P EA. <br /> BATH7UB REFRIGERATION UNITS—N P EA <br /> LAVATORY(WASH OASIN) pOILERS—H P.EA. <br /> SHOWEI7 � GAS FlRE�A C UNITS—TONIJAGE EA. <br /> KITCNEN SINK R D:SP. FORCED AIR SYSIEMS—B.T U. M EA. <br /> DISHWASHER WALL HEATERS—B T U. M <br /> LAUNDPv TRAY UNIT HEAT[RS—BS U, M <br /> CIOTHESVJASHEF EVAPORATNECOOLERS <br /> WATER HEAT[R CIOTHES DRVEI75 <br /> URIIJAL VENTILATION FAN <br /> DR1NH11JG FOUNTAIN RANGE HpOD <br /> FLOOR DRAIN pIR HAIJOLING UNIT— CF M. <br /> VACUUM OREAKERS SWVE <br /> ROOF DRAINS—RAWLEADERS M6TAL FIREPLACE 6 CHIMNEV <br /> SINK lSERVIC[—BAR,ETC) <br /> SUBTOTAL SUBTOTAL i <br /> PERMiT S PERMIT f <br /> TOTAL FEE f TOtAL FEE f <br /> SID'c VARD SEi6AGK STREETSETBACK FEAR YARD SETBACK PLAN CHECK NUMBLF PLAN CH@CKFEE <br /> � PEE aEC[IP7 td0. <br /> USE 20NE LOi AREA VACANT SITE <br /> f]VES GNO FEES VALUATION FEE <br /> il'PE OF CONST. OCCUPANCY GROUP IJO.OF DWELLING UNITS <br /> BUILDING S 00 OD <br /> SIZE OF BLDG. N0.OF STORIES MAX.OCG.LOAD <br /> PLUMBING <br /> FIRE ZONE �ASEMEN7 FIRE SPRMNLERS <br /> ' REOUIRED MECHANICAL <br /> fIYES �iNO <br /> APPpOVALS BY DATE OTHER <br /> L ENVIRONMENTAL CHECK LIST <br /> PENALTY U.B.C. <br /> 2. DUILDING PLANS SEC.3031a) <br /> 3. FIREHYDRANT TOTAL 00 00 <br /> A. FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN iHI55PACE�THI51S YOUR PERMIt <br /> 5. GRADING �1 G f (� � O O O. O C ` � <br /> 6. ORAINAGE <br /> 7. ENVIRONMENTPLIMPACTSTAtEMENT � <br /> e HEALTH DISTRICT . ., � _.�, _1^_ � <br /> APPUCATIDN ACC.�Y PLANS CHEGKED BY APPR.FOR ISSUANCE BY � ��� �� � +� � 4 <br /> . ,f �J <br /> I <br />