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"`T." CONSTRUCTIOV' <br />everett <br />PERMIT PERMIT NO. 15282 <br />CITY HALL 2598745 <br />EVERETT. WA 98201 ❑ COMEIINATION <br />❑ BUILDING x�1t MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />First Presbyterian Church <br />2936 Rockefeller Everett 98201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />Glantz Supply, Inc. 3332 <br />Cedar Everett 98201 252-2442 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />CLASS OF WORK <br />❑ NEW ❑ADDITION ❑ ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ W000 STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT -BLOCK-OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />D7 <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />�c7p <br />PERFORMANCE OF CONSTRUCTION. <br />JOB ADDRESS 7 <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />8/8/85 <br />.2936 Rockefeller <br />X Check #68656 <br />y <br />PLUMBING <br />MECHANICAL <br />(ten <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />Q— <br />SHOWER <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />KITCHEN SINK d 013P. <br />FORCED AIR SYSTEMS — B.T.U. M EA, <br />Z <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />.., <br />WASHER <br />EVAPORATIVE COOLERS <br />EnCLOTHES <br />.yL <br />WATEH,. ATER <br />CLOTHES DRYERS <br />G�;�;n <br />VENTILATION FAN <br />y <br />S <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />M ~ <br />!n <br />VACUUM BREAKERS <br />STOVE — WOOD <br />D-I <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />fVT11 <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />(N] <br />t+ <br />150 <br />SUB TOTAL <br />t <br />SUB TOTAL S. <br />7 <br />PERMIT <br />S <br />PERMIT S <br />10 <br />00 <br />TOTAL FEE <br />S <br />TOTAL <br />FEE S 17 50 <br />HH <br />SIDE YARD SETBACK <br />PLAN CHECK FEE <br />V1 <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />FEE RECEIPT NO. <br />USE ZONE <br />VALUATION FEE <br />HH <br />LOT AREA <br />VACANT SITE <br />FEES <br />EYES :-:NO <br />[n*7 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />17 <br />50 <br />REQUIRED <br />EYES .-.NO <br />APPROVALS <br />OTHER -- <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />17 <br />150 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Y§u PERMIT-- (u <br />5. GRADING <br />CD <br />R. DRAINAGE <br />(V <br />ENVIRONMENTAL IMPACT STATEMENT <br />In <br />8. IEALTH DISTRICT <br />ri <br />APPI.ICATION ACC. BT LANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />