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d�eEvergreen . Cr�NSTRUCTIOiV � �- _ <br /> CITY OF pERM IT <br /> everett PERMIT N0. OHZ7Z <br /> CITYHALL259�B745 � COM8INATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT.WA 98201 <br /> MAtI A�DFE55 <br /> Qiv 21P rMorvE <br /> 01YN6R <br /> Revised Church of Lati:er Day Saints 2919 Everett Ave . 9Z8201 25 HONeE9 <br /> ARCMREGT OR DESIGNER <br /> MAII AODRE55 ��TM <br /> GENEFAI CONTMCTOR <br /> MAIL AD�RESS CITV ZIP PMONE LICENSE I <br /> Riverside Roof Company 2916 State Street 98201 258-46 <br /> MAIL AODPESS GITY ZIP PMONE UGENSE I <br /> MECd�NICALCONTMCTOR ' . <br /> PLUMBiNG CANTNACTOR <br /> MPIL ADDRESS LITY 21P PMONE IICENSE I <br /> LLA55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION �1EPAIR ❑DEMOLITIDN ❑FENCE ❑SIGN GARAGE <br /> VqLUAi10N OF WORK <br /> f 221�. �� <br /> DESCRIBE WORK <br /> re-roof <br /> PROPOSEDUSEOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> IEGAlDESCFIPT10NOFPROPERTYISHOW BELOWORATTACHFOURCOPoE51 qLL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> ior B�OCK�OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> 20-29-5 <br /> PRESUMEOTO GI�VE AUTHORITY TO VIOLA'I E OR CANCEDL�HE PROT <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> Parcel 202905-4-0910000 CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUREOFCANiRAGiOROflAU1HOR¢EDAGEui DAIE <br /> eoenooness Check #4701 9/12 80 <br /> 2919 Everett Avenue X <br /> MECHANICAL <br /> PIUMBIN(3 - FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT <br /> AIFi COND. UNITS—HP.EA. <br /> WATER CLOSET(TOILET) <br /> REFRIGLRATION UNITS—H.P.LA <br /> DATHTUB BOILEPS—H.P.EA. <br /> �AVATORY(WASH BASIN) <br /> GAS FIRED A.C.UNITS—TONNAGE EA. <br /> SHOWER POPCED AIR RYSTEMS—B T.U. M EA. <br /> � KITCHEN SINK 8 DISP. WALL HEATERS—B T.U. M <br /> DISHWASHER UNITHEATEfiS—BT.U. M <br /> LAUNDRY TRAY [V�PORATNE COOLERS <br /> � CLOTHES WFSHER <br /> CLOTNES DRYERS <br /> WATER HEAiEfI VENTILAIION FAN <br /> �� U�71NAL — RANGE HOOD <br /> � � ORINKING FOUNTAW AIR HANDUNG UNIT— GF.M. <br /> PLOOR DRAIN STOVE <br /> VACUUAI BREAKERS METAL FIREPLACE&CHIMNEY <br /> qpOF DRAINS—RAINLEADEPS <br /> 1 SINK ISERVICE—BAF.E�C,1 <br /> SUBTOTAL s <br /> — SUB TOTAL pEHMIT s <br /> PERMIT = S <br /> TOTALFEE S TOTALFEE <br /> PLAN CHECK FEE <br /> SIDE YARD SETBAGK STREET S[T�ACK REAR YARD SET6ACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> LOT AREA VACANT SITE VALUATION FEE <br /> � USEZONE ❑YES ❑NO FEES <br /> 'i TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDIN� $2210 . 00 24 00 <br /> � SIZE OF BLDG. NO.OF SiORIES MN(.OCC.LOAD <br /> PLUMBING <br /> � BASEA'ENT FIRE SPRINKLERS <br /> FIRE ZONE REOUIRED MECHANICAL <br /> ❑YES CNO <br /> APPROVALS <br /> gy DATE OTHER <br /> PENALN U.B C. <br /> 1. ENVIRONMENTAL CHECK LIST SEC.303(a) <br /> 2. DUILDINGPUlNS TOTAL , 24 00 <br /> 3. FIRE HYDRANT <br /> PERMIT VALIOATION <br /> d. FIRE PROT[CTION SYSTEhI WHEN PROPERLY VALIDAIED(1N THIS SPACE)THIS IS YOUR PERMIT <br /> 5. GRADING � 6 � g � O � �. O O •-- � � <br /> 6. DRAINAGE (�I <br /> 7. ENVIRONA1cNTA� IA1OACTSTATEMENT ' pr ' p � <br /> B. HEALTH DISTR�CT � '' �` 1`c�/��'f � � <br /> A�. ?UCATION A��� �Y PLANS CHECKED BY APPR.FOR ISSUANCE BY , ; �1 I�v I� Y l.'U I <br />