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Me Evergreen ��a N S T R U�C T I O N everett <br />��ry oF e <br />everett PERMIT <br />DEPT OF COMh1UNITY DEVELOPMENT SERVICES , ' <br />CITY HALL 259�8745 <br />EVERETT,1Y�98201 �COMBINATION ❑ BUILDING ❑�IECHANICAL ❑PLUMBING PERMIT NO. <br />OIVNLR AIAl1AppM[S$ CIiY ZIP PMOR[ ^7S LJ <br />J <br />'7'l,F�' -r-C-i _^.n[.ui�, i.� �"Y�P`a �_'' i' •� �� F4srL'f? �i/.�W?a/ C.�IQ}� r=V71 LJ10 Af!'7l. i Y') �70 <br />�NCMIIFCI ON U[SIGrvfH <br />GfNINeLCOrviHA(lON <br />%'L''�/2`r N <br />n1ltHnnlC�l (O�u1HACi( <br />191iMI11Nf, l ONl N�CIOR <br />M11All AUUN( 55 <br />AI�IL n0�Rt55 <br />� 2/G2 ST <br />� <br />mnll. nnoNEss <br />bUll ADDRE55 <br />CIIY ZIP <br />arr zir <br />� wi� i�O�G 7 <br />an nr <br />Cliv ZIP <br />PNON[ <br />YSGDI <br />LKENSEI <br />IICINSE � <br />CLnSS U! NOXK <br />❑NEW ❑AODITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE 'IGN ❑GARAGE ❑DUILDING RELOCATION <br />WlUA110N O! N'ONK <br />+ Z�SC7'r ��- <br />uisckiut�+axr. � � .?ZCc�.'t�.Th//1?t�17 <br />C�'�r2Cr� 1�=.��-� �4 �f X L�6 Mll��'T� .. N� <br />runrostuust o� n�niowc I HERE6Y CERTIFY THAT I HAVE READ AND EXA� INED THIS AP- <br />���9LY'Y77J �T�C`,�'Z S��S� PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />iewi oisceiruou or ��uovtxir ivro�er� neiow ox nirncH roua corrtsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />ioi inocr:_c: _ OR NOT. THE 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 REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SILNATUNE Of CQNTRACTOR OR AUTHOR12E� AGENT DATE <br />ioo nunuecs t� <br />/� ��%� �C�L���OI�G�.'"J <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />\vATER ClOSET ITOIIEiI <br />�{�TH1UI3 <br />L��'ATORY 61'ASH IiA51N� <br />SMOWfR <br />KRCMFN SINK 6 DISP <br />DISWASHER <br />LAUNDRVTRAY <br />CLOTHES���SHER <br />WATER MEATER <br />URINAL <br />URIM1KINC. fOUNTrIN <br />1 LOOR OHAIN <br />VACUU�t fiREAKENS <br />ROOP DRAIhS—RAINIEADE0.5 <br />9�K �SFRVICF —IiAR E iC ) <br />SUB TOTAI <br />PFRMIT S <br />TOTAL iEE S <br />S[Tf1ACK SIRELT SCT9ACR RI <br />USE ZONL <br />TYPE Of CONST <br />FIR[ <br />l0T AREA <br />OCCUPANCY GBOUP <br />NO OF STORIES <br />f1A$EMENT IIlDk <br />APPFOVAlS <br />1 ENVINONb1tNTAL CH(CK L�ST <br />2 BVILDING PlANS <br />7 RR[ HYDHANT <br />� �BE PftOTECTION5Y5TEM <br />5 CNAUIh(:If aUVnTION 6 Cl[ARINGIGRUNNING <br />6 DRAINACF <br />7 ENVIRO�MENTALIMPACTSiATEMENT <br />B HEA�TM �ISTHICT <br />E <br />VAUNT SITE <br />❑YES ❑n0 <br />NO OF DWEIIING <br />FIRE SPNINKItN) <br />RfQl/1RED <br />CIYFS C1ND <br />BY DATE <br />APPUCA710N ACC �Y PLANSCHECKED UY I APPR.FOR <br />6 <br />9.� 79 <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIRCOND UNITS—HP EA <br />REFRIGEftATIONUN175—HP EA <br />I)OILENS—N P EA <br />GAS FlNED AC UNITS—'ONNAGE EA <br />fORCEDAIR5Y5TEh15—I1TU �� <br />6'ALIMfATERS—17TU M <br />UNIT MFATERS—f1 T U M <br />kVAPONATIVE COOLER$ <br />CLOTHES DRYERS <br />VEN7ILATION FAN <br />NANGEHOOD <br />AIR HANpLING UNIT— C F M <br />STOVE <br />AIFTAL FBEPLACE S CMIMNFV <br />SUB i0 <br />PENMIT <br />TOTAI <br />PLAN CIILCK NUMpkR <br />FEF <br />FEES <br />FEE <br />� <br />S <br />S <br />PIAN CHECK FEE <br />RECEIPT NO. <br />u FEE <br />pUIIUING 3 <br />VWMIIING <br />MECMANIUI <br />OTHfft <br />UBC <br />PE��RY SEC 703(a� <br />TOTAI <br />PE9MIT VALIDATION <br />�M1'MEN PROPErlLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />� <br />� <br />