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lllrt'.CPrr:r�'�•rt , ✓� ����� ���� � d <br /> ����6.�1. � G�MI 1 PERMIT NO. !_ '" "� •"' `_' <br /> CITY HALL 259�8745 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL Li PLUMHING <br /> O:IN[R 1dFRFD�H=iS Qtt ��r PN�NE <br /> tiarmony Hill Unity Church 3105 Lombard Bverett 98201 <br /> n;nRECi ON DESIGNEH MF'l ADDRE55 GITY ZIP PMONE <br /> .:E�JERALGONiRlGiOR MAILA�ORE55 CITY 21P PHONE LIGENSEF <br /> '!:CMFNICAL CONiFACTOR MAI�ADDPESS CIiY ZIP PNONE LICENSE I <br /> :;atural Gas Equipment 1625 East Marine View Drive Everett 98201 258-2441 <br /> ..;'.161NG G04TRACiOR tAPIL ADDRE55 CRV 21P �HONE IICENSE N <br /> � iA55 0F VJOiiK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑REPr11R ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br /> VAWATION OF WOHK <br /> S <br /> OESCRIBE WORN <br /> PR�PCSEO USEOF Bl1iL01NG I HER[BY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEGAL DESCRIPTION OF PFOPERTY�SMOW BELOW OR nTTACM FOUR GOPIES) ~ <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH r,-i <br /> LO7__BLOGN__OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A '• <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TQ VIOLATE <br /> OR CANCEL THE PPOVISIONS OF ANY OTHER STATE OR � Ti <br /> LOCAL LAW REGULAiING CONSTRUCTION OR THE � � <br /> PERFORMAN E OF CONSTRUCTION. �' _ <br /> SIGNAiURE OF N RAG"0'i OR 4��U:�i2E0 "ENT CAi[ m <br /> �ao<ooaess x . f�,j, ' / S\ 10/7/85 c o <br /> 3105 Lombard ��' _ '�'�r � <br /> PLUh1BING MECHANICAL � � <br /> O m <br /> N0. TVPE OF FIXTURE OR ITEM F�EE N0. TYPE OF EQUIPMEN7 FEE <br /> i =� <br /> VJATERCLOSET(TOILETI AIR CON�. UNITS — H.P. EA. f*7 � <br /> BATHTUB flEFflIGdRATION I.�NITS-- H.P. EA. .O z <br /> C <br /> LO.VAT.ORV(WASH BASIN� BOILERS— N.P. E0. �➢, _ <br /> SHOVJcR GAS FIRED P.Q UNI75—TONNAGE EA. � � <br /> KITCHEN SINK 8�ISP. FORCED AIR SYSiEMS— B.T.U. M EA. < � <br /> '�1 <br /> DISHWASHER WALI HE:�TtFS— B.T.U. M o p <br /> LAUNDRY TRAY UNIT HEATERS— B.T.U. M _ � <br /> --i m <br /> CLOTHES WASHER EVAPORATIVE COGLERS m F <br /> WATER HEATER CLOTHES DRYERS 0 v' <br /> URINAL VENTILATION FAN _ ��� <br /> DRINKING FOUNTAIN RANGE HOOD C � <br /> 3 � <br /> FIOOR DRAIN AIR HANDLING 11NiT_ C.F.M. � � <br /> �'ACUUM BREAKERS � STOVE — WaOD m <br /> ROOf ORAINS— RAINLEADEfiS METAL FIREf'LACE 8 CHIMNEY � <br /> SINKISERVICE— BNR.ETC.) PIREPLACEINSERT � <br /> HEAT PUMP =� <br /> 3 Conversion Burners 13 50 D <br /> _ � <br /> S118 TOTAL S 13 SO v� <br /> SU8 TOTA' S z <br /> PEf1MIT 5 PERMIT S 1 � C� <br /> TOTAL FEE S TOTALFEE 5 � <br /> PLAN CHECK FEE � <br /> S�DE VARD SETBACK STREET SETBACK REFR YARD SETBAGK PLAN CHECK NUMBER m <br /> , FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACAN7 SITF. FEES VPLUATION FEE <br /> : YES . �NO — �- "— <br /> TYPE OF CONST. OGCUPANCY GROUP NO. OF CWELLWG UNITS <br /> BUILDING $ <br /> SI�E OF BLDG NO.0=STORIES MAX.OCC. LOAD <br /> PLUMBIN(; <br /> FIRE ZONE BASEMENi pFu SqEpNKLERS MECHANICAL 23 SO <br /> YES . NO <br /> � BY �ATE �THER <br /> APPROVALS <br /> t. [NVIRJI�MENTAL CH�CK LIST PENALTY U B.C. <br /> SEC.309 la) <br /> 2.dt11LDIRfiPLANS TOTAL �.i SO <br /> 3.FIflE HYDRANT <br /> 4.RFE PROTEC7ION SYSTEAI PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATEU(W THIS SPAGE)THIS IS VOUR PERMIT <br /> S.GRADING 3 � u � � 023. SD - � <br /> G.Di/AINAGE <br /> 7.ENVIRONMEHTALIMPACTSTATE1dENT ' <br /> B.MEA�TN�ISTRICT i� — :� �.,-�„' � ;-, . . . <br /> nPPLICn7!OtJ ACG e� PLANS CHECKED BY APPR. FOR ISSUANCE BY � .. ;� .�. .•i: � I I <br /> �i. � � <br /> i i� i. �!I� . . ��l_. � <br /> � --_�" <br /> - ] Q�I i;7 <br /> , <br />