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r�� <br />CITY OF <br />everett <br />259-8745 <br />� C'�NSTRUCTION - <br />PERMIT <br />PERMITNQ:_-� U�`�" <br />❑ DEMOLITION O COMBINATION ❑ BUILDING ❑ MECHAN�CAL �;PLUMBING ❑ SIGN <br />OWNEH MRILAODFE55 CrtY ZIP PHONE <br />Lowell Community Church 5218 So. 2nd Everett 98203 <br />�RCMRECT OR DE514NtN MFIL ADORE55 CITY ZIP PMON[ <br />GENEN�LCONTR\CTON MAILADORE55 CITY ZIP PMONE UCENSE• <br />MECN�NIC4LCONTRACTOR MRIL/ODRESS dTY ZIP PMONE LILENSE• <br />PLUMBINGCONiRAGTOR AIqILADDRE55 GTY ZiP PNONE LILENSE• <br />East Everett Plumbinq 4019 - 87th Ave. S.E. Everett 98205 339-1578 <br />CLASSOFWpRN - �e� �Sow,c <br />❑ NEW ❑ AODITION ❑ ALTERATION k7 REPAIR ❑ DEMOLITION ❑ BUIL E o ��ftift+ <br />Plwnbinq <br />❑ ELECTRICITY ❑ GAS O WOOOSTOVE ❑ OTHER <br />Church <br />t01 _ tlLOCN _ <br />JOBNODR[SS <br />5218 South 2nd <br />PLUMBING <br />WATER ClOSET (TOILET� <br />OATHTUO <br />LhVAiORV IWASH BASIN� <br />5liDWER <br />KITLHEA' SINK d DISP. <br />LAUNORY TFiAV <br />CLOTHES WASMEfl <br />URINAL <br />ORINNING FOUNTAIN <br />FLO�'" UHnIN <br />ROOF DRAINS — PAINLEADFRS <br />SINN �SERVICE — BAR. ETC � <br />OG CONST <br />SUBTOTAL <br />PERMIT <br />TOTpLFEE <br />VACRNiSRE <br />❑res ❑rvu <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISiONS OF LAWS AND ORDINANCES <br />GOVERNING TNIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRE.",UME TO GIVE ALTHORITY TO <br />VIOLATE OR CANCEL THF. PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFOFMANCE OF CONSTRUCTION. <br />SIGNAT/UR7E OF CONTP.1CiOF. AUi110RIZE04GENi.OF OWNER pATL <br />X r � _ _ i .�� _ _ 8/6/86 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />LO OO A-C—ArMNDLGUNITS—HP <br />REFRIGERATIONUNITS—!1P EA <br />], BOILERS—BTWHP <br />GASFIqEDAC UNITS—OSU. <br />FORCE� AIR SVST8M5 — 0 T U. M <br />wnLL MEnTERS — B TL. M <br />UNITHEAT[RS—BTU. M <br />EVAPORAI'IVE COOLERS <br />CLOTMES DRVERS <br />VENTILAiION FAN <br />PANGEHOOD <br />WATEfiHEATER � <br />wO005iOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FlPCPLACEINSEflT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />PEflM1T <br />TOTALFEE <br />OCGUPANCVGROUa NOOFOWELUNGUNrtS �1UILDING <br />sizeore�oc I No ovsronies Imnx occ i <br />FIRE SPRINKLERS PEOUIRED ❑ �ES ❑ NO <br />nrrucnnorvnccor n,.r�scHecrceoov ncvnwF <br />M.M. <br />PLUMBINl3 <br />MECHANICAL <br />INVESTIGATION F[E <br />STATE BUILOING SURCNARG <br />STATEENERGVSURCHARGE <br />ORIVEWPV PENMIT <br />TOTAL <br />k00016959 <br />Sec 304�e) <br />PEHMIT VALIDATION <br />WHEN PROPCNLY VALIDA7ED � W THIS SPACE� THIS IS YOUR PCRMIT <br />351 60 <br />