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lhi�firr�4reCn - �ONSTRUCTION <br />��,�� �� � <br />ever��tt PERMIT PERMlT NO. 1���3 <br />CITY MALL 259�J745 <br />Eveaerr. wn A�zoi � COMBINATION � FSUILDING ❑ MECHANICAL ❑ PLUMBING <br />OIYNER MAIL A�DflE55 CITY ZIP PIIONE <br />FIRST COVENANT CHURCH 4502 RUCKER AVE EVERETT WA 98203 651-7414 <br />ARCNI1EGi OR OESIGNER MAIL ADDPE55 CIiV ZIP PHONE <br />G[NERaL LONTRAGTO4 MAIL ADOPESS CIiY bP PMONE LICENSE � <br />LEHSAR ROOFING 1119 - 79th Ave SE Everett WA 98205 334-610: LEHSARC246LQ <br />MEGMANIGPL CONTRACiOP MAI� AO�RE55 CITY ZiP PMONE UCENSE � <br />PLUMBING GONTRPGiOF MRLL RODRE55 GITY ZIP PMONE LILENSE � <br />GU55 OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ DEMOLITION ❑ FENCE 0 SIGN ❑ WOO� STOVEIFIREPLACE INSERT <br />: 6894.72 <br />Two ply cap sheet <br />iseo use oF em�mHc <br />Church <br />�0?5�26a�ocK 006 oF <br />PLUMBING <br />N0. TVPE OF FI%TURE OR <br />W ATER CLOSET (TOI LET� <br />BATMTUB <br />LAVATOHV pNASI/ BASIN) <br />SMOW[R <br />KITCMEN SINK 8 DISP. <br />DISiWASMER <br />LAUNDRYTRAV <br />CLOTNES WASHER <br />WATER HEATFq <br />URINAL <br />DRINKING FOUNTFIN <br />FIOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR. ETC.) <br />TOTAL FEE <br />S12E 0= BLDG. NO. <br />1. EN\IFONMENTAL CMECK LIST <br />2 �Uf.DING PLANS <br />3. FIRE MYDRANT <br />a, FIRE PROTECTION SYSTEM <br />5. GRADING <br />fi.JRAINAGE <br />7.ENVIHONMENTALIMPACTSiATEMENT <br />8. HEALTH DISTfiICT <br />APPLICATION ACQ BY PLANS CMECKED BY <br />r <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERtJING THIS TYPE OF WORK 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 OTHER STPTE QR <br />LOCAL LAW REGULATING �j,� STRUCTION OR THE <br />PER59RMANCE OF CONSTF7UQ'U.� N. <br />OF CO!{tRlyf,iQ�R�AUiJ(ORIzEfJ/AGENi DATE <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />801LERS — H.P. EA. <br />GAS FlRED A.C. UNITS — TONNPGE cA. <br />FORCEO AIR SVSTEMS — B.T.U. M�:A. <br />WALL HEATERS — B.T.U. �� <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR MAN�UNG Ui:!T — QF.M. <br />STJVE — SVOOD <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACEINSERT <br />MEAT PLMP <br />S <br />S <br />REAR YAR� SEiBA <br />VACANT SITE <br />VES NO <br />NO. OF OWELLING <br />MA%. OCC. LOAD <br />FIRE SPRINKLERS <br />REOUIPED <br />TYES NO <br />BY I uJit� <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE f <br />FEE I RECEIPT NO. <br />FEES I �ALUATION I FEE <br />BUILDING s 6894. 62 <br />PLUM9ING <br />MECHANICAL <br />OTHER <br />PENALiV U.BC. <br />SEC. J03 �a� <br />TOTAL 62 50 <br />PERMIT VALIUATION <br />WHEN PROPEFLY VALIDATED �IN THIS SPACE� TMIS IS YOUR PERMIT � <br />. . � .. � .. ___ � <br />m <br />BY � � <br />�! <br />.DDi:;�.�. hll�. <br />z <br />0 <br />-i <br />� <br />m <br />1 � <br />�-+ � <br />V1 2 <br />m <br />co <br />m o <br />—1 C <br />O � <br />m <br />S � <br />m <br />.o z <br />C <br />a -+ <br />� ._. <br />—I N <br />K <br />�'I <br />O n <br />1 m <br />m� <br />N <br />O <br />or <br />n m <br />C N <br />s � <br />Z f7 <br />�r <br />• m <br />a <br />� <br />-� <br />x <br />n <br />Z <br />--I <br />� <br />V1 <br />2 <br />O <br />--1 <br />n <br />m <br />