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k' rhe£vergreen ^.O NST R U CTI O N <br /> CITY OF <br /> everett PERMIT PERMIT N0. OH939 <br /> CITY HALL 259�0745 <br /> EVERETf.WA 98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL PLUMBING <br /> MAII.AU�R[55 GITY ZIP PHONE <br /> OWNER 353-3204 <br /> MF210RIAL BAPTIST CHURCH 710 Pecks Drive E�erett 98203 <br /> ARCMIiELT OR D[SIGN[R <br /> MRILn��RE55 CIiY ZIP PMONE <br /> GFNERAI CANiPACtOR MFIL AD�RESS CIiY ZIP PNONE UCENSE 1 <br /> Owner <br /> MECHANICALCANTRACTOR <br /> MAllA00RES5 CIiY 21P PHONE LILENSEI <br /> PLUMBING CANTFACTOR <br /> lAAll A�BRE55 CIiY ZIP PHONE LICENSE♦ <br /> GIASS OF WORK <br /> ❑NEW ❑�DDITION ❑ALTERATION }C�R[PAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VPLURiION OF WORK <br /> S 4�0.�0 <br /> DESGRIBE WORK <br /> Repair outside wooden fise escape <br /> PROPOSED USE OF BUILDING <br /> Church I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGAL�ESCFIPtIONOFPROPERTY�SNOW�EIOWOflARACNFOURGOPiE51 PLICATION P.ND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �oT 75 e�aK D03 oF Beverl Hills Div. 3 TYPE OF WORK WILL BE COMPLIED WITH WhfETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> Lot 75 less 100 ft th of PRESUME TO GIVE AUTHORITI'TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> si�r+nruHE oF c rtAncron on nAn� izEo ncEr+r �AiE <br /> �oe nooaess � � � "�� �_ `. � 3/2/81 <br /> 710 Pecks Drive X , � Z'V�, <br /> PLUMBING ME ANICAL <br /> N0. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> 1YATER CLOSET QOILETI AIR COND.UNITS—H P.EA. <br /> REFRIGERATION UNITS—HP.EA <br /> BATHTU6 <br /> LAVATORV IWASH BASIN� �OILERS—HP.EA. <br /> GAS FIRED A.0 UNITS—TONNAGE EA <br /> SHOWER <br /> KITCHEN SINK 8 DISR FORCED AIR SYSTEMS—BSL. h1 EA. <br /> ClALL HEATERS—B T.U. M1� <br /> DISHWASHER <br /> UNIT HEATERS—8 T.U. M <br /> LAUNDRYTRAV <br /> EVAPORATIVE COOLERS <br /> CLOTHES WASHER CLO7'HES DRVERS <br /> WATER HEATEF <br /> VENTILATION FAN <br /> URINAL <br /> DRINKING FOUNTAIN RANGE HOOD <br /> AIR HANDLING UNIT— GF A1. <br /> FLOOR ORAII� <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—AAINLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK�SERVICE—BAR.ETC 1 <br /> SUBTO7AL SUBTOTAL S <br /> PEPMIT S PERMI7 S <br /> 70TAL FEE S TOTALFEE S <br /> � SiR[CT SLT�ACK REAR YARD SETBACK PLAN CHECK NUA7BER PLAN LH[CK FEE <br /> SIDE YARD SETBACK RECEIPT NO. <br /> FEE <br /> USE ZONe LOT AREA VACAN7 SITE FEES YALUATION FEE <br /> C1YES ❑NO <br /> TYPE OF CANST. OCCUPANCY GROUP N0.OF DWE:LING UNITS <br /> BUILDING S 450.00 10 00 <br /> SIZE OF BLDG. NO.OF STORIES MAx.OCC.�OAD <br /> PLUM�ING <br /> FIRE ZONE 6ASEMENT FiRE SPflINKLEflS MECHANICAL <br /> REOUIRED <br /> [IYES i1N0 <br /> pPPHOVALS <br /> BY DATE OTMER <br /> 1. ENVIRONMENTAL CHECK LIST PENAUV U�C. <br /> SEC.307(a) <br /> 2. BUILDING PLANS -- TOTAL ZO 00 <br /> 3. fl(iE HY�RANT <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDA7ED 11N THIS SPACEI THIS iS YOUR PERMIT <br /> 5. GRADING � <br /> 6 DRA�NAGE I( � �' G � � I �. O �J — � <br /> 7. ENVIRONMENTALIMPACT STATEMEN? � <br /> B. HEALTH DISTRICT O <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOF ISSUANCE BY ' ; �� , � I�� <br /> VC <br /> . � <br /> . �' : J <br /> ADDRE55 FILE - % ' � -' � <br />