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u���,� <br />CITY OF <br />evere�t <br />259-8745 <br />'"� t�"7NSTRUCTION � <br />PERMIT <br />� <br />PERMIT NQ: � O `� � `� <br />Cl DEdAOLITION ❑ COMBINATION ❑ BUILDING IXl MECHANICAL '�. PLUM.�'i1NG ❑ SIGN <br />OWNEH MNILAODRE55 CITY 21P PH�NE <br />LDS Church 110 '� SOth St.�jW LVerett 98203 <br />ARCHITECTORJESIGNER h1AILA00RE5S LITV ZIP PMONE <br />MAIL ADDRE55 CITY 21P PHO4E �ICENSE � <br />MECMANICALCONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE� <br />SNR Plwnbing 9618 196th St. SE Snohomish, 98290 660-5912 SNRPLI*132KN <br />PLUMBING CONTRACTOR MAIL ADDRESS CITV ZIP PHONE LICENSE � <br />CUSS OF WORK <br />O NEW ❑ ADD�TION �] ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />E <br />DESCRIBE WORK <br />New bathrooms and remove old bathroom, install new hot water coils and �lter misc. plba. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Church <br />LOT _ BLOL1: __ OF <br />JOB AOOFE55 <br />11� � <br />PLUMBING <br />.i WATER CLOSET (TOILET� <br />BATHTUB <br />�I LAVATORV (WASH BASIN� <br />SHOWER <br />KI fCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUM1DRYTRAY <br />CLOTHES WASHER <br />1 URINAL <br />DRINKING FOI�NTAIh <br />Z FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADE <br />SINK (SERVICE — EfAR, ETC ) <br />USE 20NE <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />FIRE SPRINNLERS R <br />NPPLICATION ACC. BY <br />S.H. <br />SUO TOTAL <br />PERMIT <br />TOTPL FEE <br />LOT ARE� <br />GROUP <br />PLANS CHECKE� DY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEL� THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WFIETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHOR•TY TO <br />VIOLATE OR CANCEL THE PROV IONS OF ANY OTHER <br />STAT�� L�/�UL G CONSTRUCTION OR <br />THE P ANCE O I T TION. <br />SIGN UR COMRAC R. R ED T.OHOWRER DATE <br />. �� �i 9� <br />MECHANICAL <br />C<j A/C—AiMNOLGUNITS—MP. <br />REFRIGERATION UNITS — H.P. EA. <br />OO BOILERS—B.T.U./H.P. <br />GAS FIRE� A�Q UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVECOOLERS <br />OO CLOTHESORYERS <br />VENTILATION FAN <br />OO RANGEHOOD <br />'N4TER NEATER � <br />WOOD 570�/'�: <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />f 50 C <br />S <br />S 50 0 <br />SIDE SEIOACK <br />VACANT SItE <br />❑YES ❑NO <br />NO. OF DWELl.ING UNITS <br />MA%. OCC. LOAD <br />APPq FOB ISSUANCE BY <br />FEE <br />SUBTOTAL f <br />PENMIT <br />ro ':K <br />PLAN rNECK NUMBER FEE � RECEIPT NO. <br />#00020415 <br />FEES ATION FEE <br />BUILDING ECY. SB .SO <br />PLUMBING SO 00 � <br />MECHANICAL 34 50 � <br />INVESTIGATION FEE Sec. 3U4�e) I <br />STATE BUILD W C� SURCHARGE I <br />STATEENE-RGVSURCHARGE I <br />DRI6�EWAY PERMIT I <br />:JTAL 84 0 I <br />PENMI7 VALI�ATION '� <br />WHEN PHOPF iLY VAL10ATE0 pN THIS SPACE) THIS IS VOUR PERMIT ��. <br />�� <br />�� <br />�� <br />� <br />N <br />AiDH�SS FlLE <br />