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- - , <br /> � <br /> �hcEreCrRYec�F i'- �r'�STRUCTIOI� � �-� <br /> e��erett PERMIT PERMIT N0. 0�334 <br /> CI1Y HALL 259�874� <br /> EVERETT.WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER b1AILADDHE55 LRY 21P FNONE <br /> PRINCE OF PEACE LUTHERAN CHURCH 9320 Meadow Way 98203 764-4488 <br /> RRCMRECT OR DESiG.IER MAIL ApDRE55 CITV ZIP PHONE <br /> GENERAL CANTRACTOP MNII ADDFE55 LITV ZIP PHCNE IICENSF� <br /> Same <br /> MEGNANICAL CANiFnCiOR MAIL A�DHE55 CITY 21P PMONE LIGENSE r <br /> FWMpINGCANTRAGiOR MRILADORL.�S CITY 21P PMONE LICENSE� <br /> IXASSOF WORK <br /> ❑NEW ❑ADDITICN �Q+LTERAiION ❑REPAIR ❑DEMOLITION ❑PENCE ❑SIGN ❑GARAGE <br /> VAWRTION OF WOPK <br /> s 1500.00 <br /> �ESCFIB[W09K <br /> enclose an existing covered walkway <br /> rNoroSEo usE oF emimNc <br /> church I HEREBY CERTIFY THAi I HAVE READ AND EXAMINED THIS AP- <br /> iecnio�scamrioNoraaoPearr�sHoweeiowoaanncNfouncovies PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br /> ALL PPOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or e�aK—oF TYPE OF WORK \NILL BE COMPLIED W1TH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHURITY TO VIOLATE OR CANCEI THE PRO� <br /> VISIONS UF ANY OTHER STATE OR LOCAL LAW REGULATING <br /> CONC�RUCTIOIJ OR THE PERFORMANCE OF CONSTRUCTIUN. <br /> Sig�PTURE�CONiRACTORORAUTHOHI2ED EN ) DNTC <br /> JOB ADDRE55 �/ `� <br /> 9320 Meadow Way ,/ � ,�t G�� " J– <br /> PLUMBINO MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR CAND.UNi1S—H P.EA. <br /> BATHIUB �EFRIGLRATION UIJITS—H.P.EA <br /> LAVAiOR�(WASM BASIN) _ BOIIERS—H P.EA <br /> SHOWER GAS FIfiED AC.UNITS—TONNAGE EA. y— <br /> KITCHEN SINK 8 DISP. FOPCED AIR SYSiEMS—B T U. M EA. I <br /> DISHWASHER VdAIL HEATERS—U T.U. M <br /> LAUNDRV TRA1' UNIT HEAT[f79—0 T.U. M <br /> CLOTHES WASHER EVAFORA'�N[COOLEFS <br /> WATER NEAiEF CLOTNE;,DRVERS <br /> l'RINAI VENTI'ATION FAN <br /> ��71NKING FOUNTAIN RANGE HOOD <br /> FIOOR DRAIN AIP H.iNDLING��NIT— C F M <br /> 7FCUUM BREAKERS S'fOVE <br /> P(�OF DRAINS—RAINLEAOERS METAL FlR[PLACE 8 CHIMNEV <br /> SIHK(SENVICE—OAR.ETCJ <br /> SU!TOTAL SUPTO7AL f <br /> PERMIT f PERMIT f <br /> TOTALFEE f TOTALFEE f <br /> SIDE YARD SETBAGK STREET SETBACK REAR YARD SETBACK PL4N CNECK NUM�ER PLAN CH[CK FEE <br /> 80/7334 FEE 9 75 R�� yq�, <br /> UuE ZOM1i. LOT AREA VACANi SiiE . y{ <br /> ❑YES ❑NO FEES VI1lUATION FEE <br /> — T- <br /> TYPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING $1SOO,OO 1S O <br /> SIiE OF BLDG. NO.Of STOPoES MA%.OCC.LOAD <br /> PLUMBING <br /> FIRE ZONE DASEMENT FIRE SPRINKLERS — <br /> REOUIRED MECHANICAL <br /> CIYES ❑NO _, <br /> APFpOVALS BY DATE �THER <br /> 1. ENVIRONMENTAL CNECK LIS' pENALTY U B.C. <br /> 2. BUILDING FlANS SEQ 3f3(a) <br /> 3. FIRE HVDRAN7 TOTAL 15 O <br /> 4 FIRE PHOTECiION SYS7EM PERMIT VALIDIITON <br /> WHEN PROPERLY VALIDA7ED(IN THIS$�'�C��HIS IS'�OUOR i E'NO O �""Cr� ' <br /> 5. GRA91NG y � � j , <br /> 6. DRAINAGE - <br /> M <br /> 7. ENVIRO�MENTALIMPACTSTATEMENT (� M <br /> B. HEALTUDISTRICT 'I.O�U R REC�IP o <br /> APPUCATION ACC.BY PLANS CH6CKED BV APPR.FOR ISSUANCE 3Y 7N�1N� Y�;p u <br /> HWM <br /> -- ? � ANt $� , <br /> ADDRESS FILE <br />