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fhe Evergreen A�? P L� C A T I O N F� R CVefC„ <br />cmoF �,a+fdSTRIJC�I��I � <br />everett PE RM li <br />DEPT. OF COMMUNITY DEVELOPMENT SERVICES <br />❑TY HALL 259�8745 <br />EVERETT,VYA98201 j]COAIBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />aw�j\L� me/n noGoy� �ss ��ut)r /�� zir< / � Niwne <br />✓ �J . �n/ . lD ✓ L�G . v �GI'✓Q-�V`� �/'�"7 VU 1�1-f. !✓ <br />�RCMIilfl (�Jl U[SIf.NfH <br />GfM1tReLCO^�IMACION <br />M1IAII <br />M1IAII <br />ZII` PHONE <br />CIIY III` PHON( LICFNSF 1 <br />\11C111NIC C NiNACI ��UL �OOREA �' IIP PHON[ IICFNSE M <br />—,� � ��,� a � n-� � � � � ►/I'l ✓a�1.2 ,w� �5� a sti � �� 3� �' <br />Pl1'�mI�I�LCUNiN�C10R b1Alt AUOM[SS U11 ]IP VIIONF UC[NSE � <br />ClASSUf N�ONK <br />❑NEN' ❑ADDITION '❑ALTERATION ❑REPAIR ❑OF�101.ITION ❑FENCE ❑SIGN ❑GARAGE ❑DUILDING RELOCATION <br />v+wenou ov �+oux <br />} <br />UUCHIIiL \\ONR <br />rxovosto usi oi iwuunc <br />lkGAl �lSCNIf'iION Ot PRO"[RIY �SHONN HElO1v 00. AIiACH fOUH COPif51 <br />ior _ mocn _ o� <br />IUtI A1ID0.155 <br />PWMBING <br />NO. TYPE OF FIXTURE <br />\Y.\TFR ClO5ET1iOLlE71 <br />IIAIMTUO <br />UVAIORY I�YASM IiA51N� <br />S��OWER <br />KI7CHFn' SINA ft U6P <br />DIS\Y.15HFR <br />UVNDRY iBAY <br />CLOTN(5 WASHEH <br />14niEN UkAiEH <br />UftINAI <br />�RINAINGFOUNTAIN <br />fLOOR pNAlh <br />VANUM l3REAKf RS <br />kOOF URAINS—HAINLFADlNS <br />$INK ISFkViLf —f1AH, ETC 1 <br />SUB TOTAL <br />PfRM1T <br />TOTAL FfE <br />SI�F YAH� S[Tf1nCK STNER SETIIAi <br />USf ZONk LOT AREA <br />TYPf OF CONS <br />sizE oF nioc <br />FIRf <br />OCCUPANCVC,ROUP <br />�ASEMENT � III <br />AVPROVALS <br />1 EN\'IRONMENTAL CHECK .IST <br />7. f1WlDINGPLANS <br />3 fINF MYDRAN7 <br />4 FIHFVftOTECTION51'AEM <br />5 GRADING!f%UVAiIONSQfARINGIGNUH0ING <br />6 DNAINACE <br />7. ENVIHONMENTAL Ih1PACT STAiEMENT <br />0 HEALTH DISTRiCi <br />� <br />I H5REBY CERTIFY TIIAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL [3[ COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOE$ NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PER(ORM�NCE OF CONSTRUCTION. <br />9GVATUR )F CONTHnCTOft O AUiHORIZED AGFNT UnTC <br />x ��� ��'��4�9,z, �—j �Z� <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIRCOND UNIfS—fiP EA <br />ftEFftIGERATION UNITS—H P U <br />IiORERS—H P E.4 <br />C45 RHED n C UNITS—iONNACE CA <br />I ONCI D AIH SYST6N5—i3 7 V M EA <br />K'ALL HEATENS—li i U M <br />UtiliHfA7fR5—I{TU h1 <br />kVAPOR.V IVE COOLFRS <br />CI.OT�1E5 DRYFNS <br />Y! N I II.AI ION f AN <br />NANGEHpOD <br />AIN HANDLINC VNIT— C F M <br />S10VL <br />MCTAL FlRFPI,ACC hf'c911MNEY � <br />S <br />S <br />RLAN YAHO S[ 111�CA PLAN GHICA M1U��' <br />VACANT $IiF FEES <br />,=�YFS ❑NO �_ <br />NO OF U\\'ILLItiG UhIiS <br />A1A% UCC I <br />FIHI SPRINKItNI <br />Rt(}UIREU <br />cv�s :"r+o <br />BY OATf <br />♦Pv1lUTlOn ACC OY PLANS CHEIXED BY � APPR. fOR 65UAhCC OY <br />y.i-79 <br />SUB TOTAL <br />PENMIT <br />TOTAI (EE <br />FEE <br />FeE <br />� <br />CHFCK FEE <br />RECEIPT NO <br />FEE <br />11UIIDIM1C 5 <br />PIUMHING <br />M[CIIANIC�L <br />OTMFR <br />PFNnII\ U 13C. <br />SFC JOJ(al <br />tOTAL <br />PERAIIi VALIDATION <br />WHEN PHOPEFLY VALIDAit p pN llli5 SPACEI71115 IS YOl1H PLRMIT <br />