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APPLICATION FOR <br />fhe Evergreen �, O N S T R U C T I O N <br />cin oF <br />everett PE RM ��' <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CI7Y HALL 259�8745 <br />EVERETT.WA90201 (]�OMBINATION <br />aininwc CIn�E[HANICAL ❑PLUMB.�JG PERMIT NO. <br />everett <br />e <br />♦�IC�N�iUICUVIP!r;ON M1I�IIAUDNISS CI1Y LIP PIIONE llC[NSEI <br />PtCMN6f. CONIP�CfON Mnll n0[1N65 CIIY ZIP PllOvf IICENSE I <br />Q�SS OI NONK <br />�NE\Y ❑ADDITION <br />vltVnllOn Of KOKN <br />, <br />�`i-DD"`. <br />f)ISlNllll «00.[ <br />. ���7�'�-l.. �-.1.iZ: <br />PNOPUSID USF OI OUitDI`�G <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE �SIGN ❑GARAGE ❑�UILDING RELOUTION <br />l(Ul UISCNIPIIOti OI CqOPiF1Y ISIIONN flllOW ON �II�UI IOFR CO�If51 <br />ioi uioo._or <br />:UII nODRI 5 <br />J�j ,�' �.�L-li(�i LL.-t=Y�1 ��� <br />PLUMBING <br />NO. TYPE OF FI%TUNE <br />\YAikN ClOSIT ITOIIEII <br />unirnun <br />1AVATORY I\WSH IIASIN) <br />SHON'fX <br />AIICNE� SINB M1 UISP <br />DIS\vASHfN <br />tAU'�DHY iBAY <br />Ct0711[5 wASHER <br />N'AiFR 11EATER <br />pqINKItiG FOUNTAIN <br />FIOON URAIY <br />VACUV.�t I4NEAK[NS <br />NOOt DRAINS-R����kAll <br />SINB IS[RwCt -HAH. [ TC ) <br />TOTAt <br />YARnS(1(1ACK �S7R[[i <br />USF ZO'.'E � lOT ARfA <br />TVPE UF <br />tlLDG <br />FIH! <br />fFE s <br />T(iACK RUR <br />APPROVALS <br />1 fNV�RONMENTAL CHECK LIST <br />7 OUIIDING PLANS <br />J RN[ HVDRAN7 <br />� FIRE PHOTECTION SYSTEht <br />5 CNADINGk%G\'ATIONBCIfARINGILRU13111NG <br />6 ORAINAGf <br />7 ENVIRONMENUL IMPACT STATEMENT <br />B. HEALTH UISTRICT <br />APPLIUTION ACC. 9Y PI�N$ CHECKFD OY <br />� � � <br />q-1.'y <br />FEE <br />VAUNi SI1E <br />GV[5 ❑NO <br />ti0 Of DWEtLIr+G UNI <br />nux otc iono <br />FBE S�NINKt[RS <br />REQU�RED <br />'!YFS ❑NO <br />BY DAI[ <br />ISSUANCE OY <br />% /_/ <br />� HERE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMf( DOES NOT PRESUMf. TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIC�NS OF <br />ANY OTHER STATE OR LOCAL LAW RECULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. / '�U <br />SICNAIUHE Of COti7HACTOR OB AUTHORIZED AGENi DAiff/ �:7_� <br />� � i .� <br />NO. TYPE OF EQUIPMENT <br />AIR CO�:D UNITS-M P U <br />REfNIGERATIOYUNlTS-HP EA <br />' noivas-Hv [n <br />CA$ Flqf D � C UNI'$-TONNACE EA <br />fOHCED��R515TFM5-BTU h' <br />N'AllHkni[HS-UTU M <br />UM1I711U7FH5-�1U M <br />LVAPORATIVE COOLFNS <br />CLOTMIS ORY[RS <br />VF471LAT10� fAN <br />RANCfHDOD <br />AINNAhOLINGUNIT— CiM <br />A1[TAL fIHF <br />PUN CIIFCK <br />t[FS <br />FEE <br />6 CHI6INEY <br />SUB TOTAI 3 <br />PERMIi f <br />iOTAIiFE 3 <br />PLAN CHECK FfE <br />FEE � RECFIPT NO <br />uuuoi�c qq�, - <br />VLUMBI'�G <br />MECHANIGL <br />OiHFtt <br />U9C <br />P[NALTY SEC lOJlal <br />TOTAL <br />PENMIT VAIIDAiION <br />WHFN PROPENLY VALI�ATC� IIN iH15 SPACE� THIS IS YOUR PERMIT <br />� <br />