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APPLIC.ATION FOp everetl <br />Ihe Evergreen C O N S T R U� T I O N �� <br />cirr oF <br />everett PERMIT - <br />DEPT. OF COMMUNITY DEVELOPMENT $ERVICES <br />CITY HALL 259-8745 �( <br />EVERETT, WA98201 �COMBINATION ,k�.BUILDING ❑MECHANICAL ❑PWMBING PERMIT N�'�. <br />AIAII ADONFS( C�il Z�P PHONE <br />°�f,.�o;, �N�� 7%��ox Z�D� �r1���� 90�ZL23 .35 �� ���v <br />_ tp INO F <br />G[Y[RAlCON1RnClOY. MMI�O�Nf55 Cllv ZIV PHON[ IICEASf� <br />n�tCH�MUt [Oh1R�ROR M1IAII �DDN65 ❑LY 11P rnJnE ��CENSF I <br />Ptl��lNlcf. CONiMACLOF MAII �D00.[55 C�LY Z�I' PHONF IICENSE 1 <br />n.._... I—I....,�+�n.� I—leiTranr�nN ❑REPAIR <br />Y�II;AIIOv OI N'OXK <br />S <br />UfSlR10I NDR6 <br />21-/�10L / Sf/ .�U/L 7J / iV G <br />raorosm usE o� ewioi�:c <br />iee�i otscairnoN or raoreatr <br />l0t � BIOCK � O <br />� roua cowtsi <br />%LLS Z <br />� ✓��ls.C��"Ei(/ ly�r <br />PLUM9ING <br />NO. TYPE OF FIXTURE <br />WATEe CLOSET �TOLIFTI <br />11A7HTUfl <br />SHOwFR <br />KITCHEN SIUK 8 <br />IAUNOHY iNAY <br />QOTN[5 VdA511ER <br />VJATER HEATER <br />URINAL <br />pRINKING FOUNTAIN <br />fLOOB �RAIN <br />\'ACUUM ARFAKERS <br />ROOF �RAINS—RAINI <br />—r51NK ISFRVICE—HAR. ETC 1 <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE YARD SETOnCK STREET SCTOA� <br />lISF ZONE LOT ANEA <br />TYP! Of CONST OCCUPANCV C <br />SIZE Of OL�G NO.OF $TORI <br />r,H[ <br />BASEME <br />APPROVAlS <br />i ENVIRO�'1MENTAL CMECK L15T <br />l. OUII DING NLANS <br />7 FIRE HYORANT <br />1 IIRE PftOTECTION 51'STEM <br />5 GHAD�NGiI%U\'ATIONECLFARINGGRUNI7INL <br />6 DRAINAGE <br />7.ENVIRONMENTAIIMPACT5TA7EMENT <br />B MfALTH DIARIC! <br />❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOGTION <br />I HEREBY CERT�FY THAT I HAVE READ AND EXA.ViinED THIS AP- <br />PLICATION AND KNOW THE SAME TO �E TRUE AND CORRECT ALL <br />PROVISIONS OF !.AWS AND ORDINANCES GOVERNING THIS TYPE <br />ND.3 OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OZ NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RECi1LATING COM�TRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. ���_�� <br />SIGNATURE OF CONTRACIOR OR AU^HORIZED AfENT DATE <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR CO4D 11NIT5—H P EA <br />RffRICERATION UNI75—H P EA <br />BOILERS—H P EA <br />GAS FIRED AC UNITS-70tiNAGE EA <br />FORCCD AIR $VSTEM$—E7 T U h <br />WAIL HtAiEH$—P i U N <br />UNIi MEATEN$—U T U M <br />F�'APORAi1V[ COOLERS <br />VENilU710N FAN <br />RANC[HOOD <br />AIN HAtiDIING UNIT— C F M <br />570VE <br />.LIETAL fIREI'IACE 8 CHIMN[Y <br />f <br />S <br />iLAN YARD $FTOACR �LAN CHLCI: <br />VAUN7 SI7E <br />crEs ❑r+o <br />NO OI DWHIING UNIT$ <br />MA% OCC LOAD <br />RRf SPftINKlEHS <br />REQUIRED <br />❑YES ❑NO <br />BY O�TE <br />wrv�.IGTION•ACC. OY PLANS CHECKED 9� l�PPft 10R ISSUANC[ HY <br />9.1 ; 9 <br />SUB TOTAL <br />PERMIT s <br />70TAL iEE % <br />PLAN CHEIX FEE <br />FEE RECFI!" NO. <br />VAlUAT10N i� <br />OURUINC S <br />PWMHIM1L <br />MECMANIUL <br />OTIiER <br />UHC <br />P{NALTY SEC 307(a) <br />TOTA! <br />PERMIT VALIOATION <br />WHFN PROPENLY VALI�ATED (IN TIIIS SPACE) ili15 IS YOUR PERMIT <br />