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a <br /> lheEvcrgreen C� NSTRUCTION � - � <br /> CITY OF <br /> everett PERMIT PERMIT NO. OHO96 <br /> GITVHALL259�B745 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> EVERETT,WA 98201 <br /> OWNER MAILAD�R[55 CIiY 21P VNONE <br /> 353-3204 <br /> Memorial Baptist Church 710 Pecks Drive 98203 <br /> ARCHRECT OR�ES�GNER MAIL ADDRESS CITY ZIP PMONE <br /> GENEFAI CONTRACTOH IAAIL ADDRE55 CITY 21P PMONE LICENGE 1 <br /> Same <br /> MECNANICAL CONLRACiON MAIL ADDRE55 GTY 21P PHONE LICENSE I <br /> PLURIBING CONTRACTOR MAIL ADDPE55 CITY 21P PHONE LICENSE• <br /> C1A55 OF wORN <br /> ❑NEW ❑ADDI710N ❑AL7ERATION }�REPAIR ❑DEMOLITICN ❑FENCE ❑SIGN ❑GARAGE <br /> VAIUATION OF WOFK <br /> S 4427 .00 ._ <br /> OESGFIBE WORK <br /> re-roof composition — <br /> PROPOSED USE OF�UILDING <br /> church I HEREBY CERTIFY THAT I HfVE READ AND EXAMINED THIS AP� <br /> LEGAL�ESCRIPTIONOFPRO�'ERTY�SIIOVl�ELOWORATTAGNFOURCAPIES) PLICATION AND KNOW THE bAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF IAWS ANJ ORDINANCES GOVERNI�G THIS <br /> ior 75 BIOCK__OF Beverl Hills i TYPE OF WORK WILL BE C01�1FLIED WITH WHETHER SPECIF�ED <br /> HEREIN OR NOT. THE GRANIING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY T�)VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATC OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORIdANCE OF COWSTRUCTION. <br /> SIGNATURE OF WNiRA TOR ON AVU�ORIZLD AGEVT DA1E <br /> J00/�DRE55 <br /> 710 Pecks Drive X �-� aiiifnn <br /> PLUMBING CHANICAI <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET QOILET) A�R COND.UNITS-HP.EA. _ <br /> BATHTUB REFpIGERATION UNITS-H.P EA <br /> LAVATCIl1��VlASH BASINI BORERS-H.P.EA. <br /> SHOWER GAS FIRED A C UNITS-TONNAGE EA. <br /> KITLHEN SP1K 8 DISP. FOflCED AIR SVSTEMS-B TL M EA. <br /> \YALL HEATEPS-D T.U. M1� <br /> DISHWAFr1EP UNIT HEAiERS-�T.U. M <br /> LAUNDRYTRAY <br /> ClO1HE5 WASHER EVAPORATIVE COOLERS <br /> WATE�MEATER CLOTHES DRYERS <br /> URWAL VENTILATION FAN <br /> DPINKING FOUN�AIN RANGE HOOD <br /> FLOOR DR�IN AIR HpNDLING UNIT- C.F.Id <br /> VACUUM BREAKERS STOVE <br /> ROOF�RAINS-RA�NLEADERS ME7AL FIREPIACE 8 CHIMNEY <br /> SINK(SERVICE�-BAR,ETCJ <br /> SUBTOTAL SUBTOTAL S <br /> PENMIT S PEFlMI7 5 <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SETOACK STFiEEt SETBACK RFi�R VARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE F7ECEIPT KO. <br /> USE ZONE LOT�HEA VACAN7 SITE FEES VALUATION FEE <br /> JYES iiNO <br /> NPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> eui�owG s qqZ7 , 32 00 <br /> SIZE OF BLDG. NO.OF STORIES MAX.00C.LOAD <br /> PLUMBING <br /> I <br /> FIRE ZONE BMSEMENT pEOUIRED KLERS MECHANICAL <br /> IIYES �-!NO ' <br /> APPpOVALS BY DATE O7HLR <br /> 1. ENVIRONMENTAL CHECK UST PENA�n. U B.C. <br /> SEC.30�(a) <br /> 2. BUILDING PIANS <br /> TOTAL 32 00 <br /> 3. fIR[HYDRANT <br /> 4. fIRE PROTLC710N SYSTEM PERMIT VAlI0ATI0N <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> S. GRADING 6 0 9 8 a o 3 1, 6 0 �_ � <br /> 6. �RAINAGE <br /> 7. ENVIRONM[NTAL IMPACT STATEMENT � <br /> 0. HEALTH�ISTRIGT I '..-� U R R EC E i PT � <br /> APPLICATION ACG BY PLANS CMECKEO BY APPR.FOR ISSUANCE BY <br /> �-{r�.I'�K YO U <br /> ADDRESS FILE � I Q� EO <br />