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the &wv-em <br />CITY OF P-ONSTRUCTION <br />ev -8745 PERMIT PERMITNQ:_ I 63ISIGN <br />259-8;45 ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ® PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />St. Mary Magdalen School 8615 7th Ave S.E.Everett WA 98205 3537559 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />Helen Fagerlie 8615 7th Ave. S.E. Everett, WA 98205 _ 353-7559 91111111111" <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />❑ NEW ❑ ADDITION [3 ALTERATION ❑ REPAIR ❑ DEMOLITION D BUILDING RELOCATION <br />VALUATION OF WORK <br />f <br />DESCRIBE WORK <br />Install 2" meter to divert water form sewer <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Irrigation for play area for School <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PER ORMANCE OF CONSTRUCTION. <br />SIGNATURE F CONTRACTOR. AUTHO IZED AGENT, OR OWNER DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />8615 7th Ave. S.E. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C -- P/HNOLG UNITS - H P. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - 8 T U /H.P. <br />SHOWER <br />GAS FIRED AC UNITS -B.T.0 <br />KITCHEN SINK 8 DISP <br />I FORCED AIR SYSTEMS - B.T.U. M EA. <br />! <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR, ETC) <br />METAL FIREPLACE 8 CHIMNEY <br />1 <br />vacuum breaker <br />5 <br />00 <br />FIREPLACE INSERT <br />sub meter <br />5 <br />00 <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />f <br />10 <br />OO <br />SUB TOTAL <br />PERMIT <br />f 1 <br />10 <br />OO <br />PERMIT__ <br />TOTAL FEE <br />S1 <br />20,00TOTA <br />F <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FFt017639 <br />PLED $2 <br />RECEIPT NO. <br />.00 <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VAflUATION "4'J'ULJ <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />;r <br />PLUMBING <br />200 <br />SIZE OF SLOG <br />NO OF STORIES <br />MAX. OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑YES L] NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />TFOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />20 <br />O <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Q7 <br />M <br />CD <br />L` <br />T— <br />7 <br />F I <br />ADDRESS FILE <br />