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a <br />C Z <br />H -3 <br />d C4 <br />Q H <br />e55i d cn <br />S�r <br />r1 LT7 <br />-3m O <br />H3 (n <br />c ! <br />7 <br />7 <br />1 j <br />I <br />CITY OP 9i.,. `,JI `T/ a `,j N <br />everef PER ail 13 <br />259-8810 <br />PERMIT NO. _ 25746 <br />❑ DEMOLITION L3 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING [ISIGN <br />_ OWNER MAR ADDRESS CITY ZIP PHONE <br />First Presbyterian Church 2936 Rockefeller Everett 259 7139 <br />TENANT MAIL ADDRESS CITY ZIP PHONE <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />Seahurst Electric Inc <br />MAIL ADDRESS <br />3416 Everett Ave <br />CITY <br />Everett 259 6821 <br />ZIP <br />PHONE LICENSE• <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE• <br />PLUMBING CONTRACTOR <br />MAR ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />CLASSOF WORK <br />❑ NEW ❑ ADDITION <br />❑ ALTERATION <br />El REPAIR ❑DEMOLITION <br />❑BUILDING RELOCATION <br />CONTRACT PRICE OF WORK: $ <br />R _ <br />CONTACT PERSON AND PHONE NO IF OTHER THAN ABOVE <br />DESCRIBE WORK AND SQUARE FOOTAGE INVOLVED <br />Install Illuminated Sign BnnR?`7fJ <br />BLDG $12.00 <br />R qwH tQ M <br />PROPOSED USE OF BUILDING CASH $16.50 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT— BLOCK _ OF <br />JOB <br />2936 Rockefeller <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — A'HNDLG UNITS — H.P. <br />BATHTUB <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />_ <br />LAVATORY (WASH BASIN) <br />UNIT HEATERS—B.T.U. M <br />SHOWER <br />CL OTHLS DRYERS <br />KITCHEN SINK S DISP. <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />TRAY <br />WATER HEATER <br />ASHER <br />WOOD STOVE <br />METAL FIREPLACE S CHIMNEY <br />FOUNTAIN <br />FIREPLACE INSERT <br />AIN <br />E-- <br />HEAT PUMP <br />PREVENTERS <br />GAS PIPING <br />INS — RAINLEADERS <br />EXHAUSTFAN <br />VICE -- BAR. ETC.) <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT S <br />PERMIT S <br />TOTALFEE S <br />TOTALFEE <br />f <br />FRONT SETBACK <br />FEAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />❑ YES ❑ NO <br />FEES <br />BUILDING CODE <br />FEE <br />BUILDING <br />$ SIGN <br />I I IT OF WNSIRIICTION ALLUNQU <br />PIPE 9C0 STRUCTM ACTUAL <br />°Z r„'K"L' <br />MI Di DNTLLWG UNIIS <br />PLUMBING <br />,IZEOFBLDG <br />NO OF STORIES <br />BASEMENT <br />❑ YES ❑ NO <br />MECHANICAL <br />OCCUPANCY LOAD FIRE SPRINKLERS RED O HEIGHT LIMITATION <br />❑ YES ❑ NO <br />FFnSON FOR SPRINKLERS <br />OTHER <br />T45 <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS <br />3105 <br />PUBLIC WORKS <br />TOTAL <br />16 <br />50 <br />WNFN PROPERLY VALIDATED <br />THIS IS <br />YOUR PERMIT <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />25746 <br />