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the Euergreen <br />�iTY �F <br />everett <br />259-8745 <br />��� C�NSTRUCTION - <br />�'ERMIT <br />PERMIT NQ: : � � `� � � <br />❑ DEMOLITION ❑ COMBINATION G� BUILOING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OWNER MPILAODRE55 CRv ZIP PHONf <br />Trinity Episcopal Church 2301 Hoyt <br />ARCIIITECTOROESIGNER IdAILRDDRE55 CRl ZIP PHONE <br />Bob Butterfield <br />GENERALCONTR/.CT�R MNL4000[55 CITY 21P PIIONE LICENSE� <br />James Gaftney Const. 1710 100th P1 SE Everett, WA 98204 JAMESGC256QK <br />MECMPNICALCONTR/CTOR MAILqODRE55 CITY ZIP ���ONE LICENSE� <br />4LL1M�MGCONTRACTOR MAiLAODl1ESS C�TY 2iP PNOrvE LiCENSE• <br />❑ NEW ❑ ADDITION O ALTEHATION ❑ REPAIR <br />= 6500.00 <br />oE6CPioE woRrc <br />Level entry <br />HEATSOURCE <br />❑ ELECTRICITY <br />and new <br />Existing church <br />�or _ o�ocK _ <br />JOBADORE55 <br />2301 Ho <br />PLUMBING <br />NO. TYPE OF FiXTURE O <br />WATER CLOSEi �TOILET� <br />�ATHTUP <br />LAVATOHV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHW�SHER <br />LAUNDFYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />�ACNFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC � <br />❑ GAS ❑ WOOOSTOVE <br />f iiONi 5[TpA(;N <br />USE ZOrvE <br />R-3 <br />TVP[ Oi CONST <br />V—N <br />src or o�oc <br />NA <br />FlRE SPPINKLERS R <br />nr�piiCnriobncC Bv <br />M.M. <br />SUBTOTRL S <br />PERMIT S <br />TOTALFEE S <br />� NA <br />Be <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILOING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />COFRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING l'HIS TYPE OF WORK WILL BE COMPLIED WITFI <br />WHETHER SPECIF;ED HEREIN OR NOT. TFiE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CA�.C;tL THE PROVISiONS OF ANY OTHER <br />STATE OR LOCAL LAW RF.GULATING CONSTAUCTION OR <br />T E PERFORMANCE OF CONSTRUCTION. <br />G TLIR[OJCONiRACT UT R�D/GFNT���OWNER �AiE <br />�1 _ ���// �� � — � _,F 7 <br />FF.E NO. TYPE OF EOUIPMENT� <br />A: C— A�HN�LG UNIT$ -- HP <br />REGqIGEfi�TION UNITS — H P. EA <br />�OILEPS — BTLIHP. <br />GAS FIflED A C. UMITS — B.T.0 <br />FORCEDAIRSVSTEMS—OTU. MEA <br />WALLHEATERS—�SL M <br />UNITHEATERS-6TU. M <br />EVAPORAiIVE GOOLEflS <br />CLOTHESDRVERS <br />VENTIIATION FAN <br />RANGEHOOD <br />WATER HEATEfi • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEATPUMP <br />Gn5 PIPING <br />E%HAUSTFAN <br />V/ CANT 9iE <br />_ [lvE; �NO <br />M-2 I 0 <br />BUILDING <br />PLUMBING <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />NUM�ER FEE <br />NA MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHAFG <br />STATEENERGYSURCHARGE <br />FEE <br />NO <br />VALU,ITION FEE <br />5 6500.00 90 00 <br />, Sec. 30dlcls, .. � <br />� 1 Sfl <br />v wn i5;unhC[ or <br />• �� <br />L.C. TOTAI `n� � ~��.:� <br />- PERMIT VALIDATION � / S� <br />Y:HEN PNOP[nL� A'4l �DAiCD tlN TH6 tiPaCE� Trllti Iti vOUR PE(i"dll <br />r� <br />c� <br />r� <br />� <br />� <br />