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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION *BUILDING - MECHANICAL -PLUMBING <br />everett <br />,,e <br />OWNER MAIL ADDRESS .'IP PIIDNL <br />First Presbyterian Chuzch 2930 Rockefeller <br />m <br />m <br />7] <br />3 <br />-i <br />_ <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE ICENS NO <br />Sanford Wright P.O. Box 809 Everett ZZ 9820u 259-4138 223-^tl-01 G lIS <br />278 lu <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />(A' M <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />([, <br />V': <br />PERMIT <br />❑ COMBINATION <br />[]BUILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION Q(+EPAIFI <br />t' <br />VALUATION OF WORK <br />$ 2,500.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />RLDair e:;terior window trim and call: windcR, <br />PROPOSED USE <br />Church <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR WIFj5� C84 Everett <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR CONE). UNITS—H.P. EA. <br />S _ I <br />—�— <br />REFRIGERATION UNITS—H.P. EA. <br />BOILERS—H.P. EA. <br />I <br />FORCED AIR SYSTEMS—B.T.U. MEA. <br />I <br />JOS ADDRESS <br />Z <br />SPACE & WALL HEATERS — B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />EVAPORATIVE COOLERS <br />PLUMBING <br />_ <br />_ <br />CLOTHES ORYERS <br />I <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. I <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH 1-UBS <br />CLOTHES WASHER <br />S <br />WATER HEATER <br />I <br />DISH WASHERS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />1 <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />1 <br />SUBTOTAL S <br />KITCHEN SINKS & DISP. <br />1 <br />BAR SINKS <br />I <br />PERMIT S <br />ROOF DRAINS -RAIN LEADERS <br />I <br />TOTAL FEE S <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION On WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AVTHOR[TV TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />/ <br />/ 2. 14 /73 <br />X <br />ANTRA <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />_ <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS - ELECTRIC <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />1 <br />SUBTOTAL <br />PERMIT S <br />TOTAL FEE S <br />WATER <br />SERVICE SIZE _ BLDG. SUPPLY <br />SIZE <br />SIGNATURE O CTOROR AVTII. AGENT DATE <br />SIDE YARD SETBACK <br />STREETSETBACK <br />REAR YARD SETBACK <br />PLAN CHECK V 1ER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USC ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />—7— <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OF DWELLING <br />UNITS <br />( <br />BUILDING <br />S 2,500.00 <br />24 j 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MA%.00C, LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEM NT <br />IRESPRINKLERS <br />REQUIRED <br />❑YES ONO <br />MECHANICAL <br />M <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />— <br />PENALTY <br />SEC. 0001a1 <br />I <br />TOTAL <br />2�11 00 <br />PERMIT VALIDATION `` <br />WHEN PROPERLY VALIDATED (I4_07PACLtTo1?k.Y$I0n �mTj <br />i <br />1 � 1 <br />YO{U*R 9ECI00t <br />THANK YOU <br />A"Ll"T1BRA tPTtOBY: <br />PLafaLNLCKWIFV <br />RPPROVfDFOR I` jUmfBY <br />eh <br />ADDRESS FILL. <br />FEB <br />a <br />■ <br />