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,�'�.���`.,`��"' .� �i CONSTRUCTIt�I S <br /><„�: � <br />everett PERMIT PERMIT N0. 1561� <br />CITV HALL 259�87a5 <br />EVERETT, WA 98201 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OINNER MAiL ADDPE55 CITV ZIP PMONE <br />First Covenant Church 4502 Rucker Everett 98203 252-9191 <br />ARGNIiEGT OR DESIGNER MAtL AOORESS LITY ZIP PHONE <br />GENEPAL GONiRAGiOR MPIL APORE55 GITV 21P PMONE LICENSE � <br />Sa�ne <br />MECNFNICAI CONTRACTOR MAIL ADDRESS QTY 21P PMONE LICENSE • <br />PWMBING LONTRACTOF MpIL AODRESS QTV ZIP PHONE �ICENSE M <br />O NEW ❑ ADDITION �]j{ALTERAiION ❑ REPAIH ❑ DEMOLITION ❑ FENCE O SIGN ❑ WO00 STOVFJFIHEPLACE INSERT <br />s 2,000.00 <br />E,hclosure of Court RB�YSYN Adding XK�MX03fi Three Walls <br />Class room <br />EGPL DESGRIPTION OF PROPERiV �SH01Y OELOIY OR ATTACH FOUR COPIES� <br />�or_eiocK 6 oF Central Park <br />Frac lots 18,19,20,21, 6 all Lots 22.23,24,25 <br />4502 Rucker Avenue <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />W ATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISNWASHEfl <br />LAUNDRYTRAY <br />CLOTHES WASMER <br />WATER HEATER <br />URINHL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — liAINLEADERS <br />SINK �SERVICE — BAR. ETC.) <br />V-1 Hr. <br />SIZE OF BLDG. <br />542 Sq. Ft. <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />. STREET SETBACK <br />N/A <br />LOi AREA <br />N/A <br />OCCUPANCY GROI <br />E-2 <br />NO. OF STORIES <br />1 <br />BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. 9UILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADI NG <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B.HEALTH DISTRICT <br />APPUCATION ACC. BV <br />S <br />f <br />REAR YARO SETBACK <br />N/A <br />VACANT SITE <br />�..YES X7G0 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROV�SIONS OF LAWS AND ORDINANCES <br />GOVERNING TH�S TYPE OF WORK W�LL 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 OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNFT OFCONTRACTO7RORA�,U,TH�ORI�ZEO%A�jENl �ATE <br />X .GI �_�/'�' ,'�C�r.�C�l! ��� �'/.� Sr. <br />TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIPED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL MEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CIOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />A!R MANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIFlEPLACE INSERT <br />HEATPUMP <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />85/15614 IFEE 25.03 <br />FEES VALUATION <br />htt <br />� <br />f <br />S <br />CMECpK �FEE <br />CU7b3T N�. <br />FEE <br />� BUILDING 3 2,000. 38 50 <br />IA%.00G LOAD <br />z� PLUM9ING <br />IRE SPPINKLERS MECHANICAL <br />EOUIRED <br />VES X}00 <br />BY CATE OTMER <br />PENALTV U.B C. <br />SEC. 307 (a1 <br />ipTp� 38 50 <br />PLANS CHECNED BY APPR.FOR <br />JEF <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THISp IS YZOUR P[ERMIT �^ <br />�i)�2 .D�J�.J� �— :L; <br />tt' <br />I�� <br />' <br />� <br />.. �, i . . '�i'� , <br />... '� <br />ADDRESS PILE ' ' �� � ` � <br />