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rhe everpreen A► . L I C A T I O� F O R evereri <br />cinoF CO►NSTitUCT10N �j <br />everett PE�MIT <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICE$ <br />CITY HALL 259�8745 <br />EVERETT, WA98201 �COMBINATION ❑ BUILDING ❑Mf.CHANICAL ❑PLUMBING PERMIT NO. <br />o���ll X1 �lvl Mni� ��cs��� � en� zir rrwr+e <br />�iyc.c.. LVL�� <br />cioRo�sir,r�ta M�i��ooxits ���w Z�P <br />GIN[R�l CONIqAt10R MAIL AD�Rf55 ❑IY P�j PMON[ LIC[NSE I <br />c�I u,r�'n S/�.,1 C.�2P. 27 r��,,vfiPi,t, C:y7i 9k ?eC� ?�-�i4o �l -�tC v� -�cz� 2 P <br />c�rr tir rHor+[ <br />Pil'NHInC ('ONiR1Ci0R MAII ADDRI55 CI�Y ZIP PHONF IICENSE I <br />: I U> OI HONK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE C�STLN ❑GARAGF ❑BUILDING RELOCATION <br />;+u�+nnu or woaK <br />rei�ros�n iwi or umiui�c <br />lIL1l OlSCNIPt10Y Oi PNOPIHIY �SHO\\N IIllO\5 OR �IIAM fOUR COPII51 <br />lUl _PIOCA�Of <br />iux eonai ss <br />PLUMBING <br />Np. TYPE OF fl%TURE <br />11'ATER CLOSET l1011[ II <br />nnt�rtuo <br />IAVATORY (\YASM PASW) <br />SMOWFR <br />KI7CHfN SI':1: A DISP <br />DIS\YASH[R <br />IAUhDRY iNA1' <br />CLOiHES �4'+�SHER <br />\YAIER MfAi[R <br />URINAL <br />ORINKItiG FOU"1TAIN <br />FLOOR DRAIN <br />VnNU.�1 AHFAKERS <br />ROOf ORAINS-RAINIEA�EftS <br />SIr:K 6ERVICk-f7AR FTC � <br />USE ZONE <br />TYPF OF CONST <br />SIZE OF OLDL <br />FIR[ ZONE <br />SUB TOTAI <br />VERMIT <br />TOTALfEE <br />SiRFfI S[T11ACK <br />LOT ANEA <br />OCCl1PANCY GftOUP <br />NO OF STOftIfS <br />OASEMENI HtUW <br />APPNOVALS <br />1 ENVINONMENTnI CHECK LIST <br />7 OUILOiNC PUN$ <br />] FIRF MYORANT <br />< FIRE PROTECTION $VREM <br />5 GNAUING�I%CAVAIIONhCLURINGIGNUf1111NG <br />6 DRnINAGE <br />7 ENVIRONMFNTAL Ib11ACT STATEMENi <br />B HFAITM OISTRICT <br />FEE <br />�f <br />RUN YAPp SF70ACI <br />VACANT SIIE <br />❑Y[5 CNO <br />NO Of ON'fILWC l <br />MA% OCC IOAp <br />FIRk SPHINKLfRS <br />REQUIR[D <br />T7VF� f1N0 <br />BY �AiF <br />1rit <br />■ <br />I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICAT�ON AND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE �UTHORITY TO VIOLtiTE OR CANCEL THE PROVISIONS Of <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANC[ iF CONSTRUCTION. <br />SICNATURfOFCO vRAUTHORIZfDAGENT DATE <br />X s+—a-.�..ar— ( L �'j <br />NO. TVPE OF EQUIPMEN7 <br />AIR COND VNI75-H P EA <br />REFRIGER��iIONUN115-HP fA <br />FlOILfHS-��P [A <br />WS FI4ED AC UNITS-TONNAGE FA <br />FORCID AIR SYSiEMS-l1 i U M EA <br />SYA.L MEAiCRS-0 T U M <br />U'JIIMfATFR$-11TU M <br />El'nPORATIVE COOLERS <br />Vf NIILATION MN <br />RANC[HpOD <br />AIN HANDLING UNIT- C F <br />S70Vf <br />METAI FIREPUCF E CHIMNEY <br />� SUB iOTAI s <br />PERMIT f <br />TOTALiEE f <br />PLAN CM[G: NUMfifR PLAN CMEIX FEE <br />FEE RFCFIfT NO. <br />fE[5 VALUATION FE <br />6UiLDINC s <br />PWMI7ING <br />MECMANIUL <br />OTHfN <br />PE HAIiY U O.0 <br />SEC.JOJ(T� <br />TO1AL <br />PERMIT VALIDATION <br />\v11kN PROPERLY VALIDA?ED�1N THIS SPACE) TH1515 YOl1R PERMIT <br />� f �'�0 Y/�� <br />