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(he E�•er,Grecrt <br /> ��1Y �F �-� ��-;ONSTRUCTIO�� <br /> everett PERMIT PERMIT N0. 15533 '� <br /> CITY HALL 259�8765 <br /> EVERE77,VJA9ffi01 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ Pl.UMBING <br /> OWNER MAIL AO�RE55 CITY ZIP PNONE II <br /> New Life Outreach Church 9130 Merchant Way Everett 98204 <br /> FRCMITEGT OR DESIGNER MAIL ADDRE55 GTY ZIP PNONE Ii <br /> GENEflAL CONTRACTOR MAIL ADORESS CITY ZIP FNONE UCENSE� II <br /> Same ' <br /> N.ECNANICAL GONTRAGTOR MAIL AODRE55 CITY ZIP PHONE LICENSE 1 <br /> PLUMBING GONTFALTOR MAIL ADDRESS CITY 21P PHONE LICENSE/ II <br /> CLA55 OF WORN I <br /> ❑NEW O ADDITION kJ{ALTERATION ❑REPAIR ❑ DEMOL�TION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAIUATION OF WORK ��I <br /> f 1,000.00 <br /> DESCRIBE WORK I <br /> alteration of existing building <br /> PROPCSED USE OF BUILDING <br /> church I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALUESGRIPTIONOFPHOPERTYISHOWBEIOWORATTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> LOT_BLOCH_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE �i <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR II <br /> LOQAL LAW REGULATING CONSTRUCTION OR THE <br /> + PERFORMANCE OF CONSTRUCTION. <br /> JOB AOOHE55 SIGNA pE OF CONTRACTOR OR AUTHORIZE� ENT DATE II <br /> X �� 1��4�85 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSET�TOILEn AIR COND.UNIiS- H.P. EA. _ <br /> BATHTUB REFRIGERATION UNI7S- H.P. EA. <br /> LAVATORYIWASH BASIN) BOILERS- H.P. EA. <br /> SHOWEfi GAS FIRE�A.C.UNI75-TONNAGE EA. <br /> KITCHEN SINK 8 OISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUN�RV 7RAV UNIT HEATERS- B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTNES ORYERS <br /> URINAL VENTILA710N FAN <br /> URINKING FOUNTAIN RANGE HOOD <br /> FLOOR ORAIN AIR HANDLING UNIT - C.F.M. <br /> VACUUM AREAKERS STOVE- WOOD <br /> ROOF DRAINS- RAINLEAOERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE- BAR, E7C.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PENMIT S PERMIT S <br /> TOTALFEE S TOTAL FEE f <br /> SIDE YARD SE78ACK SiREETSETBACK REAR YARD SETBAGK PLAN CHECK NUMBER PLAN CHECK FEE <br /> N�A N�A N/A FEE HECEIP7 NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ..VES ; �.NO FEES VALUATION FEE <br /> TYPE OF CONST. OGGUPANCY GROUP NO.OF DWELLING UtJITS <br /> V A BUILDING S],�000. 1� SO <br /> SIZE OF 9LDG. ND.OF S70RIES MAX.OCC. LOAD <br /> 1 PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL <br /> RE�UIRED <br /> �.�.YES XXJO <br /> APPROVALS BY DATE �7HER <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.9031a) <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANT T�TA� 17 SO <br /> 4.FIRE PRO7LCTION SYSTEM PERMIT VALIOATION <br /> 5.GRA�ING WHEN PROPEFiLV VALIDATED(IN T�S,SRl�E)THI�I$iO�yR PE�RMIT (1n <br /> ! U 3 � / 5 i j�r <br /> 6.DRAINAGE <br /> 7.ENVIRONMENTALIMPACTSTATEMENT Ln <br /> !• <br /> B.HEALTH DIS7RICT ! <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY \'. � �� � r.r_c r-t i I � <br /> JEF � � -� � �- - <br /> '��. 1'i:` il <br /> � �; :. <br /> - ;I ��� u� <br /> ADDRESS FILE <br />