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^ , �--, <br /> tlie E��crgreen /\ l..` <br /> ��TYOF �iVSTRIJCTiOtV <br /> � r �1 ��� ��"��'� PERMIT NG`. 1165 g <br /> CITY HALL 259�8745 <br /> eveaerr. v✓n sezoi ❑ CQMBINATIGN ❑ BUILDING 7� MECHANICAL ❑ pWMBING <br /> �'���•f°� AAILAO�Ph55 CIiY ZIP PHONE <br /> Faith Lutheran Church Everett 98203 353-4758 <br /> HNCHiiECT OF pE51GNER Mr11L ADDRE55 CITY ZIP PHONE <br /> GCNERAL CONTRL"SOq MAI�qDORE55 CIiY ZIP FHONE �IGENSE/ <br /> Same <br /> MECMANICAL CONTMCTOP Mqi�AODRESS CITY ZiP PHONE �IGENSE Y <br /> PU!M91NG WNTiiACTOR IAAIL FUORE55 LIiY 21P PIIONE �ICENSE/ <br /> CLASfi OF WORN � <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑PEPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUAiION OF WORK <br /> 5 <br /> OESCRIp[WORK --- <br /> Install electric Purnace <br /> PROPOSE�USE OP BU��DING <br /> Single Pamily REsider.ce I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> iecn�o[scairno��oFnr�oaeRrv�swwoe�o�:�cRnnacMFour:�o�ies� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT <br /> ALL PROVISIONS nF LAWS AND ORDINANCES GOVERNING THIS <br /> �or eur�aF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br /> VISIONS OF ANY OTHER STATE OR LOCAL tAW REGULATING <br /> CONSTRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. <br /> �oe nooness � sicrvarun F corvr cton oa nunion¢eo aceNr onre <br /> 414 45th Street S .W. X � �A v , 4/1/83 <br /> PLIiMBI{�;i MECHANICA <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(i01LET; AIR CCND.UNITS—H.P.EA. —T— <br /> BATHTU� REFFIGERATION UNi75— <br /> H.R EA <br /> IAVATORY(WASH dASIN) �OILEF75—HP. FA. <br /> _ SHOWER GAS RRED AC. UNITS—TONNAGE eA <br /> KITCHEN SINK 8 DISP. ]. FGRCED AIR Sv5TE615—B.T.U. id EA. <br /> DISHWFSHER WALL HLATERS—B.T.U. I�I <br /> LAUNDRY TRAY UNIT HEATERS--B.T.U. IA <br /> CLOTHES WASHER EVA!'ORATIVE COOLERS <br /> WATEF HEATER CLCTH[S DRYERS <br /> URINAL V6NTILATION FAN <br /> DRINKWG FpUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HhNDLING UNIT — CF.M. <br /> VACUUM BFEAKERS STOVE � <br /> ROOF DRAINS—RAINLEADERS ldETAL FIREPLACE 8 CHIMNEV <br /> I 31NK�SLRVICE—BAR,ETC� � <br /> SUB TOiAL SUB TUTAL S 6 00 <br /> PERMIT S PERMI7 S <br /> TOTAL FEE S TOTAL FEE E 16 00 <br /> SIDE YARD SETBACh STREET SET3ACK REAR YARU SETB/�CK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIP7 N0. <br /> USE ZONE LOT AREA VACANT SITE <br /> i !fE5 iiNO FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANGV GROUP N0.OF OWELLING UNIiS — I <br /> J— <br /> +UILDING 5 <br /> SIZE OP BLDG. N0.OF STOR�ES � MAX.OCG LOAD � <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRiNKLERS <br /> REOU�AED MECHANICAL LE OO <br /> I ;YES [1N0 � <br /> APPHOVALS BY DATE OTHER � <br /> � ENVIRONMENTAL GH`CK LIST PENALTY U.B C `` <br /> 2 9WlDING PLANS SEC.3W(a) <br /> 3. FIREHYDf7ANT TOTAL 16 00 <br /> n. FIRE PROTECTION SYSTE!A PEHMI7 VALIDATION , <br /> 5. GNADING WHEN PROPERLY VALIDATED QN THIS SPACE)TNIS IS VCUR VERMIT <br /> _ _ 5244 E.0 � b. � � — � <br /> 6. �RAINAGE <br /> 7. FIvVIRONlAENTAL IMPACT STATEMENT ' , (D <br /> _d. HEALTH DISTRIC7 �Y�V�� kEC E f P7 c--I <br /> APPLICATION A�'G 6Y PLANS CHECKED BY APPR.FOR ISSUANCE BY �� <br /> f �_I,'�\��f. V�,U <br /> ` � if i� t;a <br /> �rn-E�:.� -n �_ � I <br /> -- — � <br />