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) <br />the Evergreen CITY OF Y'ONSTRUCTION <br />everett- PERMIT PERMIT NO. 06609 <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 ® COMBINATION ® BUILDING ® MECHANICAL X PLUMBING <br />owNChurch Ot jesus Christ O <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Latter Day Saints <br />Salt Lake City <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />15389 <br />ZIP <br />Salt Lake City, <br />PHONE LICENSE <br />Utah 84115 <br />Bowers Building and Con <br />struction Company p.0. <br />Box <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />CLASS OF WORK <br />XXINEW []ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />1_7nn.nno.00 <br />DESCRIBE WORK <br />Construct Church Building <br />PROMChD USF F BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ .AND EXAMINED THIS AP - <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LOT eEOCK_OF TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />Section 17, Twn 28N, Range 5EWM HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS 0 ANY OTHER STATE OR LOCAL LAW REGULATING <br />N/V17-28-5 CONST L 10 0 ^ HE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT E F C IeOR ON-AUT ORIZED AGENT DATE <br />JOB ADDRESS or/ 8/28/79 <br />7707 i9Ln AVENum <br />PLUMBING <br />MECHAN AL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS — H.P. EA. <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />22 <br />OO <br />BOILERS — H.P. EA. <br />11 <br />LAVATORY (WASH BASIN) <br />4 <br />00 <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />2 <br />SHOWER <br />4 <br />00 <br />1 <br />FORCED AIR SYSTEMS — B.T.U. M EA, <br />5 <br />00 <br />2 <br />KITCHEN SINK & DISP. <br />WALL HEATERS — B.T.U. M <br />DISHWASHER <br />UNIT HEATERS — B.T.U. M <br />_ <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />1 <br />WATER HEATER <br />2 <br />00 <br />CLOTHES DRYERS <br />8 <br />00 <br />5 <br />URINAL <br />10 <br />00 <br />4 <br />VENTILATION FAN <br />— <br />3 <br />DRINKING FOUNTAIN <br />6 <br />00 <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />— <br />STOVE <br />METAL FIREPLACE & CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />78 <br />00 <br />SUB <br />TOTAL $ 13 00 <br />SUBTOTAL <br />PERMIT <br />$ <br />PERMIT <br />S <br />78 <br />00 <br />TOTAL <br />FEE $13 00 <br />TOTAL FEE <br />SIDE YARD SETBACK STREET SETBACK <br />S <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />7Y 25 L <br />25 ' <br />79/288 <br />FEE 1104.00I RECEIPT 38719 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />RKAES ENO <br />FEES <br />VALUATION <br />FEE <br />R-S <br />TYPE OF CONST. <br />OC,UPANCY GROUP <br />NO. OF DW0ELLING <br />UNITS <br />BUILDING <br />$1,700,000. <br />2087 <br />00 <br />V-1 Hr. <br />A-2 & B-2 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />78 <br />00 <br />1 <br />1106 <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUI <br />MECHANICAL <br />13 <br />00 <br />3 <br />OYES 0 <br />OTHER <br />— <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL_ CHECKLIST <br />PENALTY <br />U.B C. <br />SEC.. (a) <br />2. BUILDING PLANS <br />TOTAL <br />2178 <br />00 <br />3. FIRE HYDRANT <br />4. SIRE PROTECTION SYSTEIVII <br />PERMIT VALIDATION - <br />WHEN PROPERLY VALIDATED (IN THIS SPACE)) THIS IS YOUR PERMIT <br />7ERQMIT (� <br />il <br />1788 S U 18. OCr <br />NQ J � <br />:-6.'DRA NIAGF; <br />'�. TNVIRON EIS. IMPACbAiIATEMENT <br />I - u <br />Ry5A��I �7 <br />.HEALTH TS�,ST <br />ISSUANCE BY <br />PUCATIOJFTLC1e�Y <br />..� <br />49PANS CHECKED BY <br />APPR. FOR <br />O HFIM <br />(i"� 'd Cv U <br />.�in <br />;:i <br />