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the,mvffCITY OF <br />wvm "'h C^NSTRUCTION ^ <br />everett PERMIT PERMIT NO. 23461 <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Seventh Day Adventist School 4132 Federal Everett. 98205 25 -14 8 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />MAILADDRESS CITY ZIP PHONE <br />Dan Kirkman <br />Auburn <br />88 -79T <br />GENERAL CONTRACTOR <br />MAILADDRESS <br />CITY ZIP <br />PHONE LICENSE/ <br />Seventh Day Adventist <br />Church <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />Joel Evans <br />PLUMBING CONTRACTOR <br />MAILADDRESS <br />CITY ZIP <br />PHONE LICENSE# <br />Jerry Burke <br />Everett 98205 zugKE))M-31LT' <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION <br />❑ REPAIR ❑ DEMOLITION <br />❑ BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. IF OTHER THAN ABOVE <br />CONTRACT PRICE OF WORK: $ <br />VC0 1=AU KMUJ V MVVU I AUt INVVLV[V <br />Install backflow preventer for fire service <br />PROPOSED USE OF BUILDING <br />School <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT— BLOCK— OF <br />JOB ADDRESS <br />4120 Federal <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AVC-AIHNDLG UNITS - H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS-B.T.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK E DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />I WATER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE 6 CHIMARW <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />FLOOR DRAIN <br />HEAT PUMP <br />1 <br />BACKFLOW PREVENTERS <br />5 <br />00 <br />GAS PIPING <br />ROOF DRAINS - RAINLEADERS <br />EXHAUST FAN <br />SINK (SERVICE - BAR, ETC.) <br />WB TOTAL <br />f <br />5 <br />00 <br />fUB TOTAL <br />i <br />PERMIT <br />f <br />10 <br />00 <br />PERMIT <br />f <br />TOTAL FEE <br />f <br />15 <br />00 <br />TOTAL FEE <br />f <br />FRONT SETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />C yes ❑ No <br />FEES <br />H1UI1D111D CODE <br />FEE <br />BUILDING <br />$ <br />IYIE OF CONSTRUCRM ALLDWAKE <br />TYPE OF CONSTNICTM ACTUAL <br />' ' <br />NO OF OWELLXIG UNITS <br />PLUMBING <br />15 <br />00 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCYLOAD FIRE SPRINKLERS REO'D <br />❑ YES ❑ NO <br />REASON FOR SPRINKLERS <br />HEIGHT LIMITATION <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC, BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />15 <br />00 <br />i WYFM DDnDFDI v VAI <br />InATFn Tum IQ <br />YEHID DFDYIT <br />410 <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE 23461 <br />i 180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />