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„”. `" `."".`.,' ^ O N ST R lJ CT I O I�' <br />cr � o� � <br />everett PERM li PERMIT N0. 1��� U I <br />CITY HALL 2v9�B745 <br />LVEFETi.Wa98201 � COMBINATIOY �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEP MAIL AO�RE55 CITY 21P PHONE <br />CENTRAL LUTHERAN CHURCH 2702 ROCv.EFELLER EVERETT <br />aRCHITECT OR UESIGNEN MAIL ADDRE55 LITV ZIP PHONE <br />GENERO.L CONTRFGTOR MFIL AODRE55 CITY ZIP PMONE LIGENSE � <br />MEGNAMC�ALEVNiRlC70R MAIL AODRE55 GTY 2�P PHONE LICENSE � <br />PLUMBING CONTPACTOR MAIL ADORE55 CITY 21V PMONE LICENSE Y <br />n O NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />\YORK <br />S......... <br />ESCNIDE WOFN <br />LOWER CEILING <br />ROPOSEO USE OF BUILOING <br />CHURCH <br />EGAI. OESLRIPTION OF PPOPERTY (Sh <br />LOT_BIOGK__�F_ <br />��oonoz�02 ROCKEFELLER <br />PLUMBING <br />N0. TYPE OF FIXTIJ <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br />O� ARACM FOM COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED Vr'ITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NJT PRESUME TO GIVE AUTHORITY TC VIOLATE <br />OR CnNCEL THE PROVISIOIJS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTIO� OR THE <br />PERFOH�ANCE OF GONSTSl1CTI0N. ` <br />Vf.NGTO(!L � CONTRAGTO�/ba nJr�ti6R12ED AGENi OAiE <br />OR ITEM <br />VJATER CLOSET (TOI LEi) <br />BATHTUB <br />LAVATORY(WASHBASIN) <br />SHOWER <br />KITCHEN SINK B DISP. <br />DISHWASHER <br />LAUNORY TRA�' <br />CLOTHES WASHER <br />WAiER HEATeR <br />11RINAL <br />DHINKING FOUNTAIN <br />FlOOR DRAIV <br />VACUUM BREAKFRS <br />ROOF DRAINS — RAINLEADERS <br />I SINK ISERVICE — BAR, ETG) <br />PERMIT <br />TOTAL <br />EET SE <br />USE ZONE <br />APPROVALS <br />L £NVIRONMENTAL CHECK LIST <br />2. UUILD'NG PLANS <br />3. FIRE HYDRANT <br />4.FIREPROTECTIONSYSTEM _ <br />5. GRADING <br />G. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPI ICATION ACC. BY PLANS GHE <br />A <br />X ' <br />i <br />MECHANICAL <br />FEE N0. TYPE OF EQUIPMENT _ <br />A19 WND. UNITS — H.P. EA. <br />RFFRIGERATION UNITS — H.P. EA <br />BOIlERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONN4GE EA. <br />FORCED AIR SYSTEMS — B.T.U. M[A. <br />WALL MEATERS — �.T.U. M <br />UNiT MEATERS — B.T.U. M <br />EVAPORATIVE COOLEFS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIF HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE WSGRT <br />HEAT PUhiP <br />� <br />5 <br />S <br />EAR YARD SETBACN <br />'ACANT SITE <br />YES NO <br />10. OF DWELLING UI <br />dA%.00C.IOQD <br />9RE SPRINNIERS <br />iE�UIRED <br />YtS NO <br />APPR.FOR <br />CHECK <br />1/25/85 <br />SUB TOTAL S <br />PEPMIT 5 <br />iOtALFEE t <br />p�AN CHECK FEE <br />FEE � RECEIPT NO. <br />fEES I VALUATION <br />6UIL�IN3 S <br />PlUM118WG <br />MECi1ANICAL <br />OTHER <br />FEE <br />PF.NALTY SEC 307�a� <br />TOTAL 3z J� <br />PERMIT VALIDA710N _ � <br />WHEN PFOPERLV VALIDATEO (M THIS SPA��) THIS IS YOUR PEPMIT_ <br />- � <br />� <br />� <br />� a—i <br />BY „ <br />���.i '.. . ., . . <br />2 <br />0 <br />--i <br />(") <br />m <br />"'� _i <br />N 2 <br />m <br />co <br />m o <br />�c <br />O � <br />m <br />� Z <br />S � <br />m <br />.O Z <br />D --I <br />_ _ <br />.. r-i <br />—1 N <br />t <br />T <br />O A <br />�a <br />� m <br />2 <br />m� <br />N <br />O <br />o r <br />� m <br />C N <br />� N <br />m <br />Z C') <br />—i r <br />• m <br />a <br />� <br />� <br />s <br />n <br />z <br />� <br />._-� <br />N <br />Z <br />0 <br />�--I <br />c'� <br />m <br />