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lhP��CTYOn COr'STRUCTION � <br />everett PERtI�IT pERMIT NO. 06535 <br />CITV HALL 259-8745 <br />EveHerr e✓H ��zoi ❑ COMBINATION X� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />ov:mea uni� aoon�ss <br />crtr zi� r�wNc <br />Christian Reformed Church 1931 McDouyal 98201 <br />nncHirrcT oa oEsi,;r��H unii nooncss <br />urr zir cHor�e <br />6C1lCRPL CONiRACTOR AIAq ADOFE55 <br />diY ZIP PMONE <br />UCENSE I <br />6�t CNqNICAL CON7RACtOP MAIL ADDRE55 <br />GiY 21P PNONE <br />UCENSC I <br />�IUNBING CONTRACTOq MAIL q�DRE55 <br />CIIV ZIP PHONE �ICENSE � <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALiERAT10N ❑P[PAIq ❑DEMOUTION ❑FENCE ❑SIGN ❑GARAGE <br />VnIUATiON OF WORK <br />£ 6�����.�0 - <br />Black top and grading pa <br />�On05lp USE OF BUROING <br />church <br />lEG/L DESCR!PiION OG PROPEHTY �SHOW f EIOW ON <br />ior 17-26 oiaK 286oF Hilt:on's <br />1431 McDougal <br />PLUMBING <br />N0. TYPE OF <br />WATER CLOS[T ITOu Fl <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDPY7RAV <br />CIOTHES WASHER <br />K'ATER HEATEfi <br />URINAL <br />DRINKING FOUNTAIN <br />F�OJR DNAIN <br />VACUUM BREAKEAS <br />ROOP DRAINS — RhINLEAC <br />,.�.:K fSERVICE — BAR. ETC <br />SUB <br />SIOE VARD SETPACK STREC! 51 <br />U5G ZONE lOT AR[A <br />TYPEOFCUNST. OCCUPAN <br />9Z[ OF BIDG. t10, OF ST <br />FIRE ZONE RACFn.�ru' <br />C�7: <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRF. PROTECTION SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIqpNMENTAL IMPACT STATEMENT <br />8. H[ALTH DISiRICT <br />APPLICATION ACC. �Y PLANS CHECKED BY <br />lot <br />FEE <br />I I HEREBY CERTIFY THAT I HAVE fiEhD AND EXAMWED THIS AP� <br />PLICATION AND KNOW THE SAME "f0 BE TRUE AND CORRECT. <br />AlL FROVISIONS OF LAWS AND ORDINANCES GCVEPNING THIS <br />TYPE OF WORK WILL BE COMPIIED WITH WHETHER SFECIFIED <br />HEREIN OR N07. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIV[ AU7HORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTIIER STATE OR LOCAL LAW REGUI_ATING <br />COVSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SiGN4Tp�l.O�flp'JiRALIOq OR PUTHOR/i'`U GENz �/ D�A/iE <br />X v-P __a_ �% //� �..,./�.� �// /�QG� <br />MECHANICAL ,/� ` <br />NO. TYPE OF EOU�owcur �� -- <br />VARD SE7�ACK �P;qN <br />VACANT SITE <br />LYES ❑NO <br />N0. OF OWELLIN <br />Mnx occ.�ono <br />FlqE SPRINKLER; <br />FEOUIRED <br />'I �IVES ❑NO� <br />BY I OATF <br />APP3.FORISSUANCE2� <br />Alli CONU. UNITS — HP. EA <br />REFRIGF/7ATION UNITS — H <br />�OILERS — H P EA <br />f,4S FlR[D A C UNIiS — TO <br />f-0RCED AIR SYSTEMS — E3' <br />WALI HEATERS — B.i.0 <br />UNIT H[ATERS — U T U. <br />EVAPCRATIV[ COOLEf75 <br />CLOTHES ORV[RS <br />VEN7ILATION FAN <br />79/495 <br />FEES <br />OUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />TOTAI a <br />U M <br />FE[ <br />M <br />PLAN <br />$60,000 <br />UBC. <br />SEC.303(a) <br />iE <br />I7EC[IPT NO. <br />207 <br />207 <br />\NHEN PRCPERLV VA�IUATED pN THIS SPACE) THIS IS YOUR PE(iMIT <br />7094 sZO�,U�---- in <br />M <br />L1� <br />'�'�� � R RECEIPT o <br />?� �;,(��K 1',�U <br />�a�or,ess �=n_� <br />! r' �'''� Z' i; <br />