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7W <br />i <br />the Evergreen � "ONSTROCTION <br />evereft PERMIT PERMIT NO.06609 <br />CITY HALL 259-8745 <br />EVERETT. WA 98201 ® COMBINATION © BUILDING MECHANICAL PLUMBING <br />owNahurch ot Jesus Christ ot MAIL ADDRESS CITY ZIP PHONE <br />Latter Day Saints Salt Lake City <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Bowers Building and Con Struction Company P.O. Box 15389 Salt Lake City, Utah 84115 <br />MECHANICAL CONTRACTOR <br />ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />CLASS OF WORK <br />XXNEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />s 1,700,000.00 <br />Construct Church Building <br />PROPO ED US OF BUILDING <br />Church <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TI !IS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />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 CI NCEL THE F10 <br />VISIONS Qf7ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRWIOL4 OUerHE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT E F V OR G AUT ORIZED AGENT DATE <br />8/28/79 <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOr BLGCK__OF <br />Section 17, Twn 28N, Range 5EWM <br />N/V17•-28-5 <br />JOB ADDRESS <br />9509 19th AVENUE S.E. <br />PLUMBING <br />MECHAN AL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />20 <br />00 <br />AIR COND. UNITS - H.V. EA, <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA <br />11 <br />LAVATORY(WASh BASIN) <br />22 <br />OO <br />BOILERS -H.P EA. <br />2 <br />SHOWER _ <br />4 <br />00 <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />2 <br />KITCHEN SINK 8 DISP, <br />4 <br />00 <br />1 <br />FORCED AIR SYSTEMS - B.T.U. M EA, <br />5 <br />00 <br />DISHWASHER <br />WALL HEATERS -BT.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - 8 TILT M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />1 <br />WATER HEATER <br />2 <br />00 <br />CLOTHES DRYERS <br />5 <br />URINAL <br />10 <br />00 <br />4 <br />VENTILATION FAN <br />B <br />00 <br />3 <br />DRINKING FOUNTAIN <br />( <br />00 <br />RANGE HOOD <br />FLOOR DRAIN <br />I n <br />On <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />RDOF DRAINS - RAINLFADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR. ETC.) <br />_ <br />SUBTOTAL <br />78 1 <br />00 <br />SUB TOTAL $ <br />13 <br />00 <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />S <br />78 <br />00 <br />TOTAL FEE $ <br />13 <br />00 <br />SIDE YARD SETBACK <br />7> 1 <br />STREET SETBACK <br />251 <br />REAR YARD SETBACK <br />251 <br />PLAN CHECK NUMBER <br />79/288 <br />PLAN CHECK <br />FEE 1104.00 <br />FEE <br />RECEIPT NO. <br />38719 <br />USE ZONE <br />R-S <br />LOT AREA <br />VACANT SITE <br />ffS LINO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-1 Hr. <br />OCCUPANCY GROUP <br />A-2 & B-2 <br />NO, OF DWELLING UNITS <br />0 <br />BUILDING <br />S-,700,000. <br />2087 <br />00 <br />SIZE OF BLDG <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />1106 <br />PLUMBING <br />78 <br />00 <br />FIRE ZONE <br />3 <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED, <br />❑YES �23NO <br />MECHANICAL <br />13 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL_ CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />217E <br />00 <br />4, FLRE PROTECTION SYSTEAIL <br />`S. �GRADINQ f p0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />T <br />17 8 8 (� a j O. O n -� <br />/ C O j. I 0 ,.l <br />CIO <br />(Q <br />c:) <br />4 ou-2 ''�nn� tp'r <br />t '1tjl{1 K YTv'.V <br />-& DRAINAGE] <br />'(t. L !VIRO NQ� IMPACi1"ATEMENi <br />. HEALTH TK•Rf _ <br />PLICATICj4CMY gMNS CHECKED BY <br />Od HWM <br />APPR. FOR ISSUANCE BY <br />C 'V <br />ADDRESS FILE <br />