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d�eE�'CI�YeOF CON�TRUCTI�I�' � <br /> ��,'��tt PERM IT <br /> CITY HALL 255�8745 PERMIT N0. 1 O 5 31 <br /> Eveaerr, wa �8201 ❑ COMBINATION � BUILDING ❑ MECHANICpL ❑ pLU�ABING <br /> OWNEIi IAAIL ADDRE55 <br /> City of Everett 3002 Wetmore `�r` Z1 aHcr�e <br /> Everett 98201 259-6701 <br /> ARCHiIECi OR D[SIGNEP I�FIL ADDAE55 <br /> GITY ZIP � <br /> PIIONE <br /> GENERAL CONTRACTOq MAIL AOpRE55 <br /> CITV ZIP P!10NE LICENSE 1 <br /> Same <br /> I.:ECNRNICFL CONiFqQOR MAIL ADDRE55 <br /> ��iY Z�P PHONE �ICENSE� <br /> PLUMBING C@IiPACiOR 1!/.IL q�pRESS <br /> CItY ZIP PHONE �ICENSE� <br /> CtASS OF WpqK <br /> ❑NEW ❑qDDITION ❑ALTERATIOh� ❑REPqIR C�DEMOLITION ❑FENCE ❑SiGN ❑GARAGE <br /> VAWhT10N OP W05H <br /> S <br /> DESCAIBE WORK <br /> Demolish Church Building <br /> ❑ROPOSF.D USE OF BWLDING <br /> I HEREBY CERTIFY THAT I HAVE REAU AND EXAMINEU THIS AP� <br /> �ecnioescaiar�owo�veo^ean�suow�e�owoantracHFouacories� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> �oT 6'7 BiaK 71�F Everett Land Co ' s lst ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> TYPE OF WORK WILL BE COMPLIED �VI7H WHE7HER SP�CIFIED <br /> HEREIN OR fJOT. THE GfiANTINV OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AU7HORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STA-i E OR LOCAL LAV�.' REGULATING <br /> _ CONSTRUCTION OR?HE PERFORMANCE OF CONSTRUCTION. <br /> Jou qooRE55 — SiGNn u 1[o'�°!i�n �'•T p o�Aur oR4E �c"eNt ontE <br /> 3011 Lombard X �, J,.�.IJ I�� �,�U,�� 5���82 <br /> PLUMBING ME ANICA. <br /> _N�• TYPE OF FIXiURE OR ITCM FEE N0. TYPE OF EOUIPMENT <br /> WATER CIOSET 1iOILET) FEE <br /> l�IR COND. UNITS—H.P.EA. <br /> BATHTUB R[FqIGERATtOIJ UNITS—H.R EA <br /> _ LAVATORV(WASH BASIN) BOILERS—H.P.EP. <br /> SHOWEi� GAS FlRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK G DISR FORCED AiR SYSTEMS—B.T.U. M EA. <br /> DISHWnSFI[R WALL HEATERS—B.T.U. M — <br /> tAUNDRY TRAY UMT HEATERS—B.T.U. M <br /> CLOTHES wASHER EVAPORATIVE COOLERS — <br /> WATER HEATER CLOTHES DP.YEHS — <br /> URMAL VENTILATION FAN <br /> CRINKING FOUNT4IN RANGE HOOD <br /> _ FLOOR DFAIN AIR HANDLING UNIT— QF.M. <br /> VACUUM BREAKERS STOVE <br /> _ ROOF DR/.:^'S—RAINIEFD[RS M[TAL FIREPLACE 8 CHIMNEY — <br /> _ SINK�SERVICE—BAR,ETQ) <br /> SUB TOTAL �JBTOTAL S <br /> �/ _ PERMIT 5 PEBMIT s — <br /> TOTAL FEE S TOTAL FEE S � <br /> SIUE YARD SEIBACK STREETSET6ACK HEAq YARD$[TBACK PIAN CHECK NUMBFR PLAN CHECK FEE <br /> FEE RECEIPT N0. <br /> USE ZONE l07 AREA VACANT SITE <br /> i�YES ❑NO FEES VALUATION FEE <br /> iYPe OF CONSi. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> ,� SIZEOFBLDG. NO.OFSTORIES MA%.00C. LOAD BUILDING � OO OO <br /> PIUMBING <br /> f-IRE ZONE BASBMENT FIRE EPqINKLERS <br /> REOUIRED MF.CHANICAL <br /> ��, LIYES !7N0 <br /> APPROVALS BY OATE OTH[R <br /> 1. ENVIF':NMENTAL CHECR I�5T _t <br /> 2. BUILDIN:PLANS F'NALTY U.B.G J <br /> SEQ�p3(a1 <br /> 3. FIRE HYDRANT TOTAL <br /> 00 00 <br /> 4. FIRE PROTECTION SYSTEM PERMIT VALIDATION "'-- <br /> 5. GRFDING WHEN PROP[FlLY VALIDATE�pN (kIIS SPACE�THIS IS YOUR PERA9T <br /> G. DRAINAGE 2 2 9 2 S Q O 4. 0 O ` Li <br /> P ' <br /> 7. ENVIRONMENTAL IM1IPACT STATEMENT M <br /> � � <br /> '� 0. HEALTH DISiRICT �p �r � <br /> APPLICA710N ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY YQU•3\ R Ei.��� r--� <br /> � TH,�,NK YQU ' <br /> - - ' i : : , <br /> ,�oo�Fs� Fi�.e � 1 D �AV 82 <br />