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� - <br /> '"��"�T�`oF �ONSTRUCTIOI� <br /> , everett PERI�IT pERMIT NO. 11008 <br /> , CITY HALL 25P�87d5 <br /> EveaetT.v,a sezoi ❑ COMBINATION ,-nu, BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01VNLR MAILRDDRE55 CITY ZIP RION6 <br /> First Baptist Church 1616 Pacific Everett 98201 259-9166 <br /> ARCHRECTORDlSiGNER MAILApDRE55 QiY ZIP MONE <br /> GENERAICONiRACTON M/.IIADDRE55 GiY ZIP PMONE LICENSE� <br /> T— Same <br /> MECMANiCRLfqNTRACTOR MRILADDRE55 �li'! ZIP PMONE UCENSE♦ <br /> PLUMBING CANTRRCLOR MAIL ADOR[55 UTY ZIP PHONE UCENSE I <br /> CLA55Of WORK <br /> ❑N�W ❑ADDITION ',�LTERATION ❑REPAIP �DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VAWAtiON OF WORK <br /> b 2 �5��. �0 <br /> OESGRIBE WORN <br /> Remodel Organ Loft � <br /> CROPOSED USL'JF BURDING <br /> Church I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMW[D THIS AP� <br /> iEcn�oescwiarior+oFaaoaearr�sNowenowor�AnncHFouneeriesi PLICAl10N AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> 23-24 73a Evere.tt ALL FNOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �cr__e�ceK_ F TYPE OF WORK WILL BE GOMPUED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT OOES NOT <br /> _ PR[SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONSTRUCTION OR THE PERPORMANCE OF CONS7RUCTION. <br /> J084D�6[5$ $IGNa1UREOF ONiRAGiOqp�iAU1HOf11ZED{�G�li � ,, pq1E <br /> 1616 Pacific Avenue X ' C���� � 'Zy^�� <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE OII ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIIET) AIR COND UNITS—H P.E'A. <br /> BATHTU� REFFIGERNION UNITS—H P.EA <br /> IAVATORY�WASH BASIN) BOILERS—N P EA. <br /> SHOWEH GAS FIRED A C UNITS—TONNAGE FA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B T U Id EA <br /> DISNWASHER WALL HEATLPS—H7 U M <br /> LAUNDRY TRAY UNI7 HE�TERS—D T U. M <br /> CLOTHES WASHER [yA{'CRATIVC COOL[PS <br /> WATFR NF/+T[R CLOTHES�RVERS <br /> URINAL VENTILATION FAN <br /> OF,NKING POUNLIIN RANGE HOOD <br /> F.OpR DRAIN AIR HANDLING UMT— C F M. <br /> '✓ACUUM B7EAK[RS SiOVE <br /> ROOF DRAINS—RAMLEADERS METAL FIREPLACE 8 CHIMNEV <br /> SINK IS[RVICE—BAR,ETC) <br /> SU!TO7Al SU!TOTAL f <br /> PERMIT f PERMIT f <br /> TOTAL FEE t TOTAL FEE f <br /> SIDE�kRD SEiBACK STREET SEIBACK REAR YhRD SET�ACK PLAN CHECK NUMBER PIAN CH[CK FEE <br /> BZ�ZLOOB FEE ZS. O3 R[CEIPTNO. <br /> USE 20NE lOT APEA VACANT SITE <br /> I!YES CiNO FEES VALUATION fEE <br /> TYPE OF fANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> V-1 Hr. A3 BUILDING a ygY�$• �� �X <br /> SIZ[OF BL�G NO.OF SiORI[S MA%.OCC.LOAD <br /> LPLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> PEOUlRED MECHANICAL <br /> f]YES '' O <br /> APP110VI1L6 !Y DI1TE OTHER <br /> t. ENVIRONM[NTA!CHECK LIST U BC. <br /> _ PENA�TY SEG.303(a) <br /> 2. BUILDING PLANS <br /> � 3. FIREHVDRANi TOTAL 38 50 -� <br /> a. FIpE PROTEC7ION SVSTEM PEIIMIT VIILIDATION <br /> \VHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR P[Rb11T <br /> 5. GRADING <br /> � <br /> 6. DMIN�GE 1953 t03�30 -�1�� � <br /> 7. ENVIRON�AENTALIMPACT STATEMENT <br /> B. HEALTH DISTFIC7 � <br /> t"� <br /> APPLICAiION PCC.BY PUNS CHECKED BV APPR FOR I.SSUANCE BY YO U�R RE C E I PT <br /> sc xwM r.c � THANK Y(7U <br />