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IhP (_l�rrl'rPP�� � <br />e��erett � �ONSTRUCTIOP" - <br />CITVHALL259-B7d5 PERMIT PERMIT NO. 1455�-' <br />EVERETT, V!A 98201 � COMBINATION CX�c BUILDING ❑ MECHANICAL ❑ PLUM8ING <br />OVMER MAIL ADDRE55 dTY ZIP PNONE <br />Lowell Community Church p,0. Box 2997 Everett 98203 <br />ARLMItCGi OH OESiGNEP 338-1122 <br />MAIL qpPRE55 GIiV ZIP PMONE <br />GENEFRI GONTR4GTON MAIL ADDR?55 CITY 21P PMONE LICENSE a <br />Frank Stipek 9905 19th Avenue S.E. Everett 98201 <br />338-1122 <br />MEGMRNICIL CONiRRGiOR MAIL AOpFE55 piV pIP PMONE UCENSE � <br />PWMBING GONTRACTOp MqIL ROOFE55 CITY IIP PMONE LICENSE � <br />❑ NEW ❑ ADDIiION ❑ ALTERATION �XiEPAIR ❑ DEMOLITION ❑ FENCE O SIGN ❑ WO00 STOVFJFIREPLACE INSERT <br />S 70,000.00 <br />Repair fire damage <br />Churr_h <br />�or 5 ewcK 18 oc <br />m nttow OH ATTRCH FOl <br />Town of Lowell <br />JOB 400RE55 '— <br />5218 3outh 2nd � <br />PLUMBING <br />N0. TYPE OF FIXTURE <br />BATHTUB <br />LAVAiORY(WASMBAS <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />DISNWASMER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATEfl NEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FIOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINI <br />S�NK �SERVICE — BAR, <br />N/A <br />B-2 <br />TYPE OF CONST. <br />V—N <br />512E OF BLDG <br />890 Sq. Ft. <br />FEE <br />PEHMIT f <br />TOTAL FEE S <br />EET SETBACK REAR YARD SETBAC <br />N/A N/A <br />AREA VACANT SITE <br />.. /r �ES ,,,,q10 <br />A-3 p <br />P.IES MA%. OCQ LOAO <br />2 75G <br />FlRE SPRINNLER: <br />REOUIREO <br />YES ND <br />APPROVALS <br />L ENVIRONMENTAL CHECK LIST <br />2 BUILDING PLANS <br />3. FIFE HYOHANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSIATEMENT <br />8. HEALTM DISTRICT <br />APPLICATION ACC. BV PLANS CMECKED <br />ED <br />JEF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KIJOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEFNING THIS TYPE OF VJORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTH[F STATE OR <br />LOCPL�J-AW REGULATING CONSTRUCTION OR THE <br />PERFOPNv1ANCEDF COP1S�fiU TIONA <br />IG TU�EOFCONiqp�TOR�b�WYGdfi�ZFO b�' �..� <br />TYPpOF EOUIPMENT <br />AIR COND. UNITS — HP. EA. <br />REFRIGEflATION UNITS — H.P. EA. <br />BOILFRS — M.P. EA. <br />GAS FlHED A.C. UNI15 — TONNA ,E EA. <br />FORCED AIR SYSTEMS — B.T.U. Id EA. <br />WALL NEATERS — B.T.U. Id <br />U�IT HEATEPS — B T.U. M <br />EVAPOPATIVE COOLERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SSJ19555 �Fee 222195 <br />FEES � ypLUATION <br />BUILDING <br />PLUMBING <br />MECMANICAL <br />OTHER <br />PENALTV <br />f <br />5 <br />f <br />FEE <br />34?. <br />rota� 393 00 <br />PERMIT VPLIDATION <br />WHEN PROPERLY VALIDATED pN TMIS SPACE� THIS IS VOUF PERMIT L� <br />' LC) <br />�J <br />� <br />FORISSUANCE BY ,, � t"i <br />LC <br />iAGCRL'_�,S fiLE <br />