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APPLICAT& FOR CONSTRUCTION PERMIT <br />�* <br />CITY OF EVERETT • BUILDING DIVISION <br />32DO CEDAR STREET D EVERETT, WA 98201 D (425) 257.8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING 11 MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: 4120 FEDERAL AVE. EVERETTE WA -- <br />Forest Park S.D.A. School 4120 Federal Ave. Everett _ <br />p•O/ER ANIA 11Ess on m PRONE <br />TEN", MNI ADDRESS an lM PIgNf <br />ARCMTECT OR DESIGNER MAI ADDRESS <br />GENERAL CONTRACTOR MAIL ADDRESS CHY lIf PINHRE STATE EICENSEI <br />Burns Fire Systems, Inc. P.O. Box 1110 Granite Falls, WA (425)338-0124 Burnsfs021 <br />MECHANICAL CONTRACTOR ..LLLMMESS CIn 71F PUONf STATE LICENSEE <br />L rr <br />Plum,RGOONIRA:10A MMI ADDRESS C." RIP PHONF STATE LICENSEE <br />to Ann An e <br />al <br />57 <br />CONTAAC I PRICE a INORII <br />HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br />M RoNPF W.DVI AND Sd1ARE FOOTAGE INVOINED <br />CONTACT M RSON AND PROM ND <br />4 <br />Ilyu. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />11 //w �yAA//_ 10 E <br />PROPOSED USE OF BIRLDINC, <br />church school remodel <br />LEGAL DESC.INIIDN OF FRORERn ISHOAN BELOW GR ATIACN Two LI""I <br />LOT BLOCK o< <br />LONSTRlFJ<T LOANIENOFR.AGOPE55.TF1f1'IKINE N <br />IGNAtORE DATE <br />OFF pISNESS LICENSE NO <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR REM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AA:—NHNDLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />_ <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS <br />DISHWASHER <br />RANGE H000 <br />LAUNDRY TRAY <br />WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />BACKFLOW PREVENTERS <br />GAS RANGE <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUST FAN <br />il <br />SUB TOTAL S <br />SUB TOTAL f <br />PERMIT $ <br />PERMIT $ <br />TOTALFEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />SIDE <br />USE ZONE <br />101 AFt. <br />^^• •' <br />-�T— <br />❑vE5 ❑ NO <br />BRUITING. <br />NHGNT IIMIEA110N <br />NO <br />MITOF EANTLLRNG <br />SUE OF NGGNI <br />'� <br />I <br />P111EMNG <br />OCCIAANf.Y <br />MO CI S,.I, <br />M.C"PANT IOAG <br />!A$FLEME <br />WCNANKAI <br />GRWP <br />ONE GNO <br />AGdTIGNAI nANCINCt <br />— <br />FIRE SPRVIXLEN REND <br />RFASON <br />DIKE, <br />FIRE ALARM REGD <br />RFAtOV <br />STIR BIFLDwO SIMCIRANGE <br />TIRE or CON"E•LAyp.IPEvo"FG <br />By <br />CITY OF EVERETT <br />I+IeI Ir. wtw.S <br />C/.'i7 <br />SALE <br />__ <br />,..�, <br />TAXOCODE SJ OS <br />TOTAL <br />