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rhC ecerl'R�en <br />everett <br />LITY HALL 259�87d5 <br />EVERETT, VJA 98207 <br />^ONSTRUCTIO�� <br />PERMIT <br />❑ COMBINATION XLX BUILDING ❑ MECHANICAL <br />PERMIT N0. 1351 � <br />❑ PLUMBING <br />ON41ER MA:L ADDRE55 CIIY ZIP PMONE <br />GOSPEL LIGHT TEMPLE 2801 ROCKEFELLER 98201 259-26:13 <br />PRCHR WT OP DE�iGNER MAII AD�RE55 GITY ZiP PMONE <br />GENERAL f.ONTPnG10R MAIL A��RG55 GITY 2iP PMONE IJLENSE M <br />LEHSAR ROOFING C0. 1119 - 79th Avenue Everett WA 98205 334-u103 LEHSARC246LQ <br />M[CMAN�CAL CONTRPCTOR MRIL AODFE55 CITY Z�P PnOkE LICENSE • <br />PIUMBWG GONTPAGTOR IdAIL AD�RE55 GITY ZIP PMONE UCENSE � <br />CLASS OF N'ORK y-� <br />❑ NEW ❑ ADDI710N ❑ ALTERATiON N� REPAIR ❑ DEMOLI7IUN ❑ FENCE ❑ SIGN U WCOD STOVEIFIREPLACE INSERT <br />VA SUAT103QF��Oq((� <br />� / <br />DESWIUE WORN <br />Reroof 2-ply built up <br />Church <br />�or 1&2 e�ocK 665 oF <br />PLUMB�NG <br />IYPE <br />TYPE OF FIXTURE OR <br />WA i'EF CLOSET (TOI LEI� <br />BATHTUB <br />LAVATORY (YlASM BASIN) <br />SH0INER <br />KITCHEN SINK d DISP. <br />OISHWASHER <br />LAUNURVTRAY <br />CLOTHES WASMER <br />WATER HEATER <br />URINAL <br />DNINK�NG POUNTAIN <br />FLOOF DRAIN <br />VACUUN BREAKERS <br />ROOF DPAlIJS — RAINLEADERS <br />SINK ISF.FVICE — BAR, ETGI <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />STREET SEL�4CK <br />BASLMENT <br />APPROVALS <br />L ENVIRONMENTAL CHECN LIST <br />2. BUILDING PLANS <br />3. FIRE HYORANT <br />a. fIRE PROTECTION SVSTEM <br />5. GRADING <br />G. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION FCC. BY PLANS CHECKED BY <br />stg <br />I HcREBY CERTIFY THAT I HAVE READ F,ND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOUFCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SFECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATF <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING COjd,S�iRUCT10N OR THE <br />PERFR RMANCE OF .,O STRU�TIp�Y <br />SiGNq'[UiE 0� GONTPAGtOR �iNOijIL D�(G�JIT DATE <br />MECHANICAI <br />FEE N0. TYPE OF EOUIPMEN7 <br />AIR COND. UNITS — H.R EA. <br />REFRIGERA710N UNITS — M.P. EA. <br />OOILERS — H.P. EA. <br />GAS FIRED A.C. UNIT� — iONNAGE EA. <br />FORCE� AIR SVSTEMS — B.T.U. Id EA. <br />VlALL MEATERS — B T.U. M <br />UNI7 HEATEFS — B.T.U. M <br />EVAPORATIVE COOLE(iS <br />CLOTMES ORVERS <br />VENTILATION FAN <br />RANGEMOOD <br />AIR HANDIING UNIT — QP.M. <br />STOVE — \NOOG <br />METAL FIFEPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />� <br />S <br />S <br />REAR YA(i� SFiBACK <br />VACANT SITE <br />YES NO <br />NO. OF DWELLING ll� <br />MA%.00C.LOAD <br />FIFE SPFINNiERS <br />REOUIPEU <br />yt$ 'NO <br />ISSUANC[ BV <br />SUBTOTAL S <br />PERMiT f <br />TO1AL FEE f <br />( NUMBEN PLAN Ci <br />FEE <br />FEES VALUATION <br />BWIDING <br />PLUIdBING <br />IAECNANICAL <br />OTHER <br />PENALTY <br />53195.73 <br />SEC.303 <br />FEE <br />K F[E <br />RECEIPi NO. <br />FEE <br />44 150 <br />TOTAL I � � <br />PERMIT VALIDATION <br />WHEN PRQPERLY VALI�ATED UN THIS SPACE) THIS �S YOU PF�Ph��T <br />_ ' � n V :'�I ���:. �� ��) — —.�'� <br />� I <br />,.��i,[<t.. , <br />� <br />r <br />r. <br />h] <br />H F <br />H� <br />H � <br />� �. <br />�r <br />� r <br />y e <br />C7 F <br />C � <br />� : <br />� <br />f <br />"C7 ` <br />�y i <br />C�i • <br />�' <br />a <br />• i: <br />