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he Evergreen CITY Of CO" ASTRUCTI®N - <br />�Averett PERMIT PERMIT NO.07346 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 0 COMBINATION n BUILDING ® MECHANICAL PLUMBING <br />MAIL ADDRESS CITY ZIP PHONE <br />OWNE <br />Ringdom Hall of <br />Tehovah's Witnesses 1730 Madison Ave. 98203 353=2197 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GEN EML CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE <br />Church <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE III <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE <br />CLASS OF WORK <br />[bEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S 167,000.00 <br />__L <br />L:pnStii uG. ucw .. <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />church <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />Pinehurst Div. G <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOr BLOCK_OF <br />5 <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />s. 50, of lot 3-all of lot <br />4 and E 73' of <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUC IOO OR 1riE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE NT ACTOR OR AU RIZED AGENT DATE <br />4/25/80 <br />J08 AODRE55 <br />1730 Madison <br />X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />6 <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — M.P. EA. <br />1 <br />BATHTUB <br />2 <br />00 <br />REFRIGERATION UNITS — H.P. EA <br />5 <br />LAVATORY (WASH BASIN) <br />10 <br />DO <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />— <br />1 <br />KITCHEN SINK 8 DISP. <br />00 <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />5 <br />00 <br />1 <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B.T.U. M <br />1 <br />CLOTHES WASHER <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />3 <br />00 <br />2 <br />WATER HEATER <br />4 <br />00 <br />1 <br />CLOTHES DRYERS <br />4 <br />00 <br />URINAL <br />2 <br />VENTILATION FAN <br />3 <br />00 <br />!)KINKING FOUNTAIN <br />1 <br />RANGE HOOD <br />FLUOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUB TOTAL <br />34 <br />00 <br />SUB TOTAL $ <br />PERMIT <br />$ <br />PERMIT = <br />15 <br />00 <br />TOTAL FEE <br />$ <br />34 <br />00 <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />7346 <br />FEE 147.55 <br />RECEIPT NO. <br />4091 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES RD <br />FEES <br />VAL AT <br />R-1 <br />22757.24 Sq. Ft <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$167,000. <br />387 <br />50 <br />V-1 Hr. <br />A-2/R-3 <br />1 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />34 <br />00 <br />A-2*329 <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REC❑ <br />MECHANICAL <br />15 <br />00 <br />3 <br />Wane <br />ESR ON0 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECKLIST <br />PENAL'Y <br />U.B.C. <br />SEC. 303 (B) <br />TOTAL <br />436 <br />50 <br />2. BUILDING PLANS Js <br />3. FIRE HYDRANT o� <br />4. FIRE PROTW ION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />�L <br />34.00- 3 1406 S38/,S�J �1 <br />N5. Cz <br />00�B.DRANI - 0 <br />1406 <br />M <br />:;U7. ENVIRINMWAL IMP UISTATEMENT <br />t � ~ <br />RECEIPT �ro;u r.rRc> t <br />OCB. HEAL�T�OII ICT O <br />r <br />APPR. FOR ISSU ce <br />PPLICA{J$jN aL�. BY <br />LAWS CHECKED BY <br />THANK K YOU <br />C <br />K YOU .. <br />V.C. <br />ADDRdiSPRLQn <br />EV <br />