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the £�•cr,�reen � � C O N ST R U CT I� • r n <br /> cir�cr � <br /> �verett PERiVIIT PERMIT NO. �- �7 � � <br /> CITY HALL 259�8745 <br /> EVERE7T,WA 98201 � COMBINATION �x BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MFILADDRESS GITY ZIP FMONE <br /> Unity Church 3101 Lombard Everett 98201 <br /> ARGHITEGT OR[JESIGNER MAIL ADORE55 CITY Z�P PMONE <br /> GENERFL GONTRAGTOR MAIL ADDRESS GTY 21P PHONE LICENSE M <br /> Tube Art Signs 2719 hfaple Street Everett 98201 252-0086 <br /> MECMANIGAL GONTflACTOR MAIL ADOFE55 CITY ZIP PHONE LICENSE N <br /> UBE ASS 161 8M <br /> PLUMBING CONTRAGTOF kAIL AODRE55 CITY ZIP PHONE LICENSE N <br /> CLA55 OF W 9PK <br /> ❑ NEW ❑ ADDITION ❑ ALfERFTION ❑I7EPAIR O DEtitOLITION ❑ F:NCE �SIGN ❑ WOOD STOVEIFIREPLACE INSEFiT <br /> VALUATION OF WORK <br /> s 3300.00 <br /> OESCRIBE Yl08K <br /> Install tvro sets of Halo lights <br /> PFOPOSED USE OF�UILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI <br /> APPL�CATION AND KNOW THE SAME TO 6E TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY�SHOY/BELOW OP ATTACM FOUR COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMFLIED WITH <br /> LOT__BLOGK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GR4NTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOC?,L LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> SIGNATU OF CONTRA T09 OW 1 QIZED AGENT �TE <br /> doonooaess X.- ., !"' � • �� .2' S <br /> 3101 Lombard <br /> PLUMBING MECHANICAL <br /> NJ. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATERClOSET�TOILEn AIR COND. UNITS— H.P. EA. <br /> BATHTUB REFRIGEPATION UNITS — H.P. EA. <br /> LAVATORV IWASH BASIN) BOILEfiS — H.P. EA. <br /> SHOWER GAS PIRE�A.C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK 8 DISP. FORGED AIR SYS7EMS — B.7.U. M EA. <br /> DISHWASHER WALL HEATERS— B.T.U. M <br /> LAUNDHY TFAY UNIT HEATERS— B.T.U. M <br /> CLOTHES WASHER FVAFOFATIVE COOLERS <br /> WATER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT —_ C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPUICE 8 CHIMNEY <br /> SINK(SERVICE-- BAR, ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUBTOTAL S SUB TOTAL S <br /> PERMIT E PERMIT S <br /> TOTAL FEE 5 TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK flEAR YARD SETBACK PLAN CHECK NUlABER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA V��CANT SITE FEES VALUATION FEE <br /> �.�.YES i�NO <br /> TVPE OF CONST. OCCUPANGY GROUP NO.OF DWELLING UNITS <br /> BUILDING S 3300.00 15 00 <br /> SIZE OF BLOG. NO. OF STORIES MA%.OCC. LOAD <br /> PLUMBING <br /> 'IREZONE BASF.MEN7 p�EOUSRED KLERS MECHANICAL <br /> YE9 NO <br /> OTHER <br /> APPROVALS BY DATE - <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS TpTA� 15 00 <br /> 3.FIRE HYORANT <br /> 4.FIRE PRO7ECTION SYSTEM PERMIT VALIDqTION <br /> WHEN PROPERLY VALIDATED pN iHIS$P,(�C�IITHIS I$..Y/�U�i PEqy1Yj _- ,1 <br /> S.GRADING 7 ! } U I 7 U U l <br /> 6.�RAINAGE . - <br /> 7.ENVIFONMEN'7ALIMPACTSTATEMENT ' - ' <br /> B.HEALTH�ISTfiICT � � j, i�:".r- I: :, I ' <br /> APPLICA710N ACC. BY PLANS CHECKED BY APPR. FORISSUANCE BV <br /> NV/LC 11/2�/8 . . ., �',� . '�1 <br /> �,' I �, �., . <br /> ��_i u�J <br /> ADDRESS FILE <br />