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_ , <br /> � �� <br /> , <br /> 1heC•vergreen `- C(,�STRU�TION r� <br /> Cii1'OF <br /> everett PE�MIT PERMIT N0. 0�334 <br /> CITY MALI e"59�8745 <br /> EVERETT.WA eezo� ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL C PIUMBING <br /> OWNE4 MAILAOORE55 GRY ZIP PMpNE <br /> PRINCE J� PEACE LUTHERAN CHURCH 9320 Meadow Way 98203 764-4988 <br /> AR„HIT[CiOFU[SIGN[R MAILADDPE55 CIiY ZIP PHONE <br /> GENERAt CANTRACTOR lAqll ADORL55 CITY ZIP PNpNE LICENSE 1 <br /> Same <br /> MCCMASiCqL CONTMCtOR MAIL ADOPE55 pTY bP FPONE LICENSE 1 <br /> PLUMBINGCANT{iACiOP MAILADDRESS �I7Y ZIP PY.ONE UCENSE� <br /> GLA:SOi WORK <br /> ❑NEW ❑ADDITION (�(ALTERATION ❑REPFIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VRIUAiION OF WORK <br /> E 1SOO,OO <br /> DESCPItlE WORK <br /> enclose an existinq covered walkway <br /> PROi`OSED USE OF BUIL�ING <br /> church I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> iecnioescaiHneNOFaaoaeen�sNowoe�oweaanncHro•.�a„owcs� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIO�IS OF LAWS AND OR�INANCES GOVERNING THIS <br /> iar eiocK_oF __ _ TYPE OF WORK VJILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEflEIN OR NOT. THE GRANTING OF A PERMIT DOES !!OT <br /> _ PRESUME TO GIVE RUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CO UCTI(1N OR THE PERFORMANCE OF CONSTRUCTION. <br /> J09ADpRE55 Si AiUREO CCNiRAGipRJRAUtMOB12ED CN`� � D!T[ <br /> 932Q Meadow Way f , GOG� � '— � <br /> PLUMBIN6 MECMANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OP EOUIPMENT FEE <br /> WATFR CLOSET(TOILET� AIR�pND.UNITS—HP.[A <br /> BA?HTUB REFl71GEHATION UNITS—HP EA <br /> _ LAVATORY(WASH DASIN) BORERS—HP.EA. <br /> SHOWER GAS FlRED A G UNI15— <br /> — TONNAGL[A. <br /> NITCHFN SINK&UISP. fORCED AIq SYSTEMS—gS.U. M EA. <br /> DISHWASMER WALLH[ATEFS—BT.U. M <br /> LAUNDRV iRPV UIJIT HEATERS—B.T.U. M <br /> CLOTHES WPSHER [VAPOqATNE COOLERS <br /> _ �MATER HEATEN CLOTHES Df7YERS <br /> URINAL VENTILATION FFN <br /> DFINKINu fOUNTAIN RANGE HWD <br /> FLOOR DFAIN AIR HANDLING UNIT— <br /> QF M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEAOERS METAL FlREPLACE 6 CHIMNEV <br /> SINK(SEPVICE—BAH.ETC.) <br /> SUB TOTAL SUBTOTAL f <br /> PERMIT t PERMIT S <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE VARD SET�ACK STREET SE7AACK REAR VARD SET84CK PLAN CHECK NUMBEfl PLAN CHECK FEE <br /> 80/7334 FeE 9.75 R����6 <br /> US[ZONE LOT AREA VAGANT SI7 E d <br /> ❑�'ES ❑NO FEES VALUATION FEE - <br /> NPE OF CONST. p�UPANCY GFOUP NO.OF OWELUNG UNITS <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD BUILDING $SSQO,OO 1S O <br /> PLUMBING <br /> FlNE 20NE BA:EMENT FlRC�'�RINHLERS . <br /> REOUIRED MECNANICAL <br /> [�YES I�1N0 <br /> APPpOVALS BY DATE OTHER <br /> i. ENVIRONMENTAL CHECK LIST P[NALTY U.B.C. <br /> 2. BUILDING PlANS SEG.5031a) <br /> 3. FIRE HYDRANT TOTAL 15 0 <br /> a. FIRE PROiECT10N SYS7EM PEqMIT MALIOATION <br /> 5. GRADING WNEN PROPERLY VALIDATED(IN THIS^��CE)7HI515 SpOR' �M� O �� ' <br /> 6. DRAIIJAGE ,f y� <br /> 7. ENVI90NMENTA�IMPACT STAtEMENT M <br /> B. HEAITHDISTRICT h'OUR RECEINT� <br /> APPLICATION ACC.BY PLANS CHECKED BY AFpR FOR ISSUANCE BY �r� � � h�� ��� O <br /> xt,*nf <br /> l � �, � � , i <br />