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. , <br /> �hr. Evcrgrcen _ CONSTRUCTION . everett <br /> °"Y °`: PERMIT <br /> everett <br /> CITV NALL 759�87dti <br /> ever+err. wn �azo, COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER MIUL AUDRtSS ZIV PMUNE <br /> First United Methodist Church 3530 Colby m <br /> � <br /> ARCHI iECT OR DESIGNEH MAIL AOOqE55 PHONE LICENSE NO. 3 <br /> 1 <br /> GENERALCONTRACTOR MAILAOORE55 PHONE LICENSENO. Z <br /> C <br /> MECHANICAL CONTRACTOR MqIL ADDHE55 PHONE LICENSE NO. 3 <br /> � <br /> (J7 m <br /> PWM6INGCONTRACTOq MAILAD�RE55 PMONE LICENSENO. Q � <br /> Same pp <br /> PERMII' ClASS OF WOAK � <br /> ❑COMBINATION <br /> ❑OUILDING ❑PLUM6ING ❑MECHANICAL <br /> ❑NEW ❑ADDIT�ON ❑ALTEFATION ❑REPAIR <br /> VALUATION OP WORK <br /> S ❑�EMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br /> OESCRIBE WOAK <br /> PROPOSED USE <br /> MECHANICAL <br /> TVrE oF ENEFrv <br /> LEGALOESCRIPTIONOFPROPEHTVISHOWBELOWORATTACIi ❑GAS ❑ELEC. <br /> FOUR COPIE5) <br /> Lo7 BLOCK—oF NO. TVPEOFEQUIPMENT FEE <br /> AIR CON�.UNITS-H.P. EA. S I <br /> IiLFRIGERMIONUNITS-H.P. EA. <br /> FIOILERS H.P. EA. � <br /> f-ONCED AIR SVSTEMS-U.T.U. MEA. <br /> I <br /> JOD AODRE55 $PACE & WAL� HEATERS - B.T.U. <br /> 3530 Colby uNir�ientens-a.r.u. i <br /> [Vl�POFATI V E COOLE RS <br /> PLUMBING CLOTHFSORVEAS <br /> 1 <br /> VENTILATIONFqN <br /> RANGE NOOD I <br /> NO. TVPE OF FIX7UHE OR I7EM PEE AIR HAN�UNG UMT- GF.M. _J <br /> 9ATH TUBS $ � <br /> Cl01HE.". WASHER � � WATER IiEATER <br /> DISH WASHERS � — <br /> —1— FAC. �UILT FIR[PLAC[ [4 CHIMNEV � <br /> DRINKtNG POUNTAINS � — <br /> FLOOR URAINS � GAS. SVSTEM_NO OP OUTLETS <br /> KITCHEN SINKS & DISP. � SUn TOTnL 5 � <br /> 6AR SINKS � PLnMIT 5 <br /> ROOF DNAINS - RAIN LEADERS � toin� F[E 5 I <br /> SHOWER BAlHS "HIS PERMIT OECOMES NULL ANp VOIn IF WORK OR CONSTRUC- <br /> SF-RVICE SINKS TiON AUTIIO�IZ@D IS NOT COMMENCED WIiHIN 170 DAVS, OR IF <br /> SUMPS - SEWf�GE PUMP CUNSTRUCTION Ofi WOfiK IS SVSP[NDED Ofi AOANDONED FOF A <br /> i P@PIOD OF 120 DAVS AT ANv TIM! AFTER WOfiK IS COMMENCED. <br /> URINnlS <br /> WATEfl CLOSETS I I HER[BV CEflTIFY THAT I NAVE RLAD AND EXAMINEO THIS AP- <br /> PLICATION AND KNOW TH[ SAIdE TO flE TRUE ANO COfiFECT. ALL <br /> Wl�TER HEATERS - ELECTFIC � P(aOVIElONS OF LAWS AND ORDINANC[5 GOVERNING THIS TVPE <br /> Wl�SN l3ASIN5 � OP WOEK WILL 6E COMPLIEO WIIH WHETNER 51'EClfl[D HEREIN <br /> Ll1UN�RV TNAVS ��4 NOT, Tt1E GRANTING Of A PERMIT DOES NOT PRESUME TO <br /> Hose GIVG AU'HORITV TO VIOLl1TE OR CANCEL THE PROVISIONS OF <br /> �� Q_J_I] ANV OTHP.R STM[ OFi LOCAL LAW ii[GULATING CONSTRUCTION <br /> Ofi THE PE�iFO(iMANG[OF CONSTHUCTION. <br /> � <br /> SUB TOTAL <br /> TOTAL FEE a --39�� X���/����� 9/21/78 <br /> " O <br /> WATERSERVICESIZE BLDG SUPPLYSIZL SIGNATUfiC[)FGONTHnCTOfaORAUTH.AGENT �ATE <br /> SIDEYARDSETBACK STR[ETSBTDACK fiEARYARfJSFTAACKPLANCHF.CKNUMRC-q PLANCHECKFEE <br /> fEE RECEIPT NO. <br /> USE 20NE LOT AREA VACAM'SITE <br /> ❑vEs ❑NO FEES VALUATION FEE <br /> TVPE Of- WNST. OCCUPANCY GROUP NO.OF DWELLING <br /> UNITS � <br /> SIZE OF BLO(i. NO.OF STOHIES MAX.OCC. LOA� OUILOING $ � <br /> I <br /> FIflEZONE �ASEMENT fINESPFINKLERS P�UMBING ,' � <br /> HGQVIRED <br /> ❑YES ❑ND MECHANICAL � <br /> SPECIA�COND�TIONS: �THER � <br /> I <br /> PENALTY 5@C. 301 la1 I <br /> 1 <br /> TOTAL - � 7 100 �� � <br /> PERMITVALIUATION � <br /> WHEN PROPERLY VALIDAT[O IIN THIStiPAGE11�115 1S VpOR.PERMIT; <br /> { . ♦ f . <br /> • � �fi��?�1P�'cn: <br /> - ; 7HANK YOU �- 1 ; <br /> Mq'IIL�iIONALI(PILUXV Pll�N%'NkCKLUOY. Mry'NOVff11pO6511�NfI fIY � . V <br /> eb � �� <br /> ,� Tt .� 1g i� <br /> , <br /> ADDRFSSFILL . _ , _ '__i <br />