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(,Ie Lie,L,(.e,1 <br />I ONSTRUCTION <br />"cF <br />everett <br />PERMIT <br />PERMIT NO. <br />CITY HALL 259-8745 <br />ElCOMBINATION ik BUILDING ElMECHANICAL <br />❑ PLUMBING <br />0 >— oMo <br />EVERETT, WA 98201 <br />OWNER <br />MAIL ADDRESS CITY <br />ZIP N 1 O E C <br />98201 <br />Revival Chapel <br />2717 Harrison Everett <br />0 <br />; m <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP PHONE T <br />G F <br />GENERAL COMPACTOR <br />MAIL AUUHC)] <br />- II <br />Marysville <br />-" - - <br />98270 ^ 659-4624 <br />Owner -Bill Smith <br />3822 119th <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP MY PHONE LICENSE A <br />(,63— /6,T V <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE .ICENSE A <br />GUST V, WVP1 <br />RwEW ❑ADDITION ❑ALTERAT ION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN EIGARAGE <br />E 94,000.00 <br />n T..._-P, n,,*1Ain❑ <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 bnOVS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION OFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />Rucker' s 2nd <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK_OF <br />24,N� <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />The South hi of Lot 23 all of <br />Lot <br />PREE:UME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO - <br />iae5The Seuth L T-4 14 <br />_„ of , <br />VISICINS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />North 5 of Lot 23 <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUi E OF CONTRACTOR OR AUTHORzAGENT DATE <br />JOB ADDRESS <br />2717 Harrison Avenue <br />X Z k ,ti - - YW3 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />(} <br />Q O <br />AIR COND. UNITS — H P. LA. <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />6 <br />00 <br />BOILERS — H P. EA. <br />GAS FIRED A UNITS —TONNAGE EA. <br />SHOWER <br />. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK 8 DISP. <br />OI <br />DISHWASHER <br />WALL HEATERS — BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />2 <br />00 <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />4 <br />on <br />ICLOTHES <br />DRYERS <br />URINAL <br />9 <br />no <br />VENTILATION FAN <br />9 <br />In <br />DRINKING FOUNTAIN <br />1 <br />00 <br />RANGE HOOD <br />AIR HANDLING UNIT — C F M <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />1 <br />SINK (SERVICE — BAR, ETC.) <br />2 <br />00 <br />SUB TOTAL f <br />2 9 <br />00 <br />SUS TOTAL <br />PERMIT <br />i <br />PERMIT f <br />2 <br />-TO <br />TOTAL FEE <br />f <br />3 <br />0 <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />83/11537 <br />FEE252.20 <br />61MNO <br />USE ZONE <br />LOT AREA <br />VL7ASN7ONO <br />FEES <br />VALUATION <br />FEE <br />_ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />f 94,000. <br />415 <br />00 <br />V-1 Hr. <br />A-3 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />4088 Sq. Ft. <br />2 <br />127 <br />PLUMBING <br />34 <br />00 <br />FIRE ZONE <br />BASEMENT <br />p OUIRED RE SPRINKLERS <br />MECHANICAL <br />24 <br />00 <br />AYES KNO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1, ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.0 <br />SEC. 303(B) <br />TOTAL <br />473 <br />OQ <br />2. BUILDINGPLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 7 3 6 <br />5. GRADING <br />O O —_ <br />Cy6. <br />DRAIN" <br />Li <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />Q (1 _ <br />YO U ' ` "L I �T <br />e. HEALTH DISTRICT <br />F� <br />L I 1 T V <br />I <br />APPLICATION ACC. B <br />PIfN$GHE ( <br />APPR FOFj ISSUAFICE B <br />• <br />THANK C <br />K1., <br />, <br />(CCU ' <br />EB <br />HWN <br />LC <br />$ ►'� i P APR j g AFa <br />$ j' c� <br />ADDRESS PILE _. •�. �. <br />