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-- —T— <br /> �heErergrcen � � �^ONSTRUCTION - -- <br /> GTY Of <br /> everett PERMIT PERMIT NO. OH9O5 <br /> qTY HALL 259�87<5 ��7 <br /> eveaErr.v+,c 9ezo, ❑ COMBINATION II BUILDING ❑ MECHANICAL ❑ PLUMBING '"� <br /> ��l,N.q y�p��qppqEg$ GiY ZIP GMONE <br /> East Everet.t Community Church 2532 Colby 98201 259-3551 <br /> 0.9�NitECTOliUESGNER MA�LFO�FE55 LITY 21F PHONE <br /> GEpEAAILONTRRROR MAILApDRESS Citt 21P PNONE L�CENSEI <br /> Same <br /> 6'LGHhNIGAL WNTMCtOR MNR ADDRE55 GtY Zlo >MONC LICENSE Y <br /> PPJI.�BiN6COKTRPGTOR MAILApDRE55 CIIV 21P �ONE LICENSEI <br /> C1R55 OF WOHK - <br /> ❑NEW ❑ADDITION ❑ALTER4TION ❑PEPAIR ❑DEMOLITIOiI ❑fENCE ❑SIGN �GARAGE <br /> VAIUATION OF WpqK <br /> E <br /> DESGAIBE WORK <br /> 1200 Cubic Yards of Fill <br /> raoaosco usE oF eu��cn+c <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> iecnio�sca�avoNOFFaoaca.ris�oweeiowoennncNFouacovics� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 17—' S61 Rucker' s lst ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> wt �i�cK_ov TYPE OF WORK WILL BE CGMPLIED WITH WHETHER SPECIFlED <br /> HEREIN OR NOT. THE GFANTING OF A PERMIf DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL lAW REGULATING <br /> CONSTRUCTION OR THE PERFOAMANCE OF CONSTRUCTION. <br /> ciGNPTUni D1 GOIIIR/.CiORGRPUiNOR�ZEDAGf.Hi Dnit <br /> �oe nooAess 2/2 5/81 <br /> 2532 Colby Avenue X , _� ,.�'� .,. C{w <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIIET) AIR CAtJD UNITS—H P.EA <br /> BATNTUB P[FRIG[RATION UNITS—H P.EA <br /> LAVATORV ryJASH BASIN) BOILERS—H P.EA. <br /> SHOWER - GAS PIRED A C.UNITS—70NNAGE FA. <br /> KITCHEN SINK 8 DISR FORG[D AIR SVSTEMS—B T U. M EA <br /> DISHWASHER WtiILHEATERS—BT.U. M <br /> LAUNDRYTRAV UIJITHEATEFS—BTU M <br /> C�O1HE5 WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS — <br /> UHINAL VENTILATION FAN <br /> DIiINKING FOUNTAIN RANGE HOOD <br /> FLOOF DRAIN AIR HatJDLIHG UNIT— C F.M. <br /> VACUUM�REAKERS STOVE <br /> ROOF DRAINS—RAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAF.ETC) � <br /> SUBTOTAL 6UBTOTAL s �i <br /> PERMIT f PEHMIT t I <br /> 70TALFEE S TOTALFEE Z I <br /> SIOE YARD SET�hCK STREET SET�ACK �LAR YAP�SETBACK PLAN CNECK NUMBER PLAN CN[CN FEE I <br /> f EE REGEIPT NO. <br /> USE 20NE lOi AREl. VACANT SITE FEES VALUATiON FEE <br /> GYES ❑NO <br /> TYPE OF GONST. OCCUPANCY GROUP NO.OF DWCLLINCa UNITS _ <br /> BUILDIn,G 1200 Cu yd tl.11 90 00 <br /> gZE OF BLDG. NG OF STORIES MAX.OCC.LOAD <br /> PLUMBINCa <br /> Fiii[ZONE BASEMEN7 q�pUifiEDJKLE(i5 MECNANICAL <br /> !IVES I INO <br /> pppppyp� BY DATE OTHER <br /> 1, ENVIRGNMENTALCHECKLIST pENALTV UBC <br /> _ SEC.3031e) <br /> 2. BULDINGPLANS 9O OO <br /> TOTAI <br /> 3. FIFE HYDRANT <br /> 4. FIRE PROTECTION SYSTFM PENMIT VALIDATION <br /> WHEN PROPEHLV VALIDATEO(iN THIS SPA�E�,iqI515 Y�Ul1��IMiA1 (� _._ � <br /> 5. GFADIIJG � � u U l� <br /> G. DRAII�AGE � <br /> 7 ENVIRONMENTALIMPAGTSTATEMENT . i - "� � � � �'��� � <br /> 0. HEALTM D�STRICT . . , , � '1 Q <br /> APPLICATIOIJ ACC.BY PLANS CHECKED BY APPR.FOR IuSUANCE BY � ' ' � � <br /> i .� J I <br /> P�DDI?f=:S FILE <br />