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� APPLOCATION FOR everett <br />Ihe Evergrean C O N S T�t U C T I O ti <br />Clh OF � <br />everet�t PERMIT <br />Dfl'T OF COMh1UNITY OFVELOPMENT SERVICCS <br />CITY HALL 259�8745 <br />GVER[TT, WA98I01 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />i���.N�q M1IAII �ppNltS un tir vuorrt <br />an zir runni <br />�J,.�AC� i12,�IGl�l.vi � "'� I..+[ /4 Eati-C'..u�N.I1, E✓t'2eT- q0zo4 'll�—OO�tB _ <br />GIMXntcONlu�r1ON nulleUUPtSs clir Zlr r11oME LIc[�5E1 <br />\IIQUMl4lI0':IXACION AI�IIAD�NIS$ pi\ LIP PIIONF lIC[VS[� <br />I'll'.��III\�l IUNiNnC1UN nl�ll n00N155 UIY 21P PIION[ lIC[HSF 1 <br />uo� oi «uxa <br />❑NE��' ❑�DUITION <br />\'11 W f IU^�. pl NORR <br />� ��l6�Os �4 <br />�DI)(NIIII NON6 <br />/ )Litf����,� �X�S � <br />rxorutiu�ti ui aunnnc <br />❑ALTERATION ❑REPAIR ❑� DEh10LITION ❑FENCE ❑$ICN ❑GARAGE ❑OUILDING RELOCATION <br />IIUI UISCNIPIIOv �ll 1`NOI•IP1Y 611UNh IIHON UW nllAl111UUN CJI'1151 <br />lO� IIIOLA�UI <br />��,��,�,��x�ss <br />PIUMBING <br />NO. 7YPE OF FI%TURE <br />�U7tX ll0$Li IfOLIETI <br />11A1lIlU0 <br />l�\'n70NY pVASH PASiM <br />SHOW(N <br />KI7CMW SINK b UISP <br />0611'ASRFN <br />UUFDKY INA1 <br />Q011115 \YASHER <br />WA7I H HEA7FR <br />UNIti1.ItiG fOU''�TAI V <br />I IUUN pNA14 <br />V'ACL'L'M f1R1AK[RS <br />NOUI URAItiS—K�INLFAUfRS <br />51�6 UF H�9('f — I1�R, f iC I <br />SIDf YANO Sf I111CA <br />Uif ZOVE <br />TYGf OF CO�+51 <br />SIZE Of UIDG <br />FlRf 7.Uti[ <br />SUB TOTAL <br />PERMIT <br />TOTALfE[ <br />STR[F1 SETItA� <br />LOT ARfA <br />NO <br />�� <br />FEE <br />�S <br />R[AN YARD 5[TOACR <br />\'AUNT SIiF <br />❑Y[$ CNO <br />GROUP M1'O Of UWELLIM1 <br />IES h1Al( OCC LOAD <br />I1IURUOMS tlHf SYNm <br />HEQUIRED <br />nvrs n� <br />APPROVALS BY <br />1 ENVINOti.titLNiAI CMEU: LISi <br />7 OUIL[71tiL Pl�NS <br />J fINE M10HAN1 <br />4 F�NE PH07ECTIOH SYSTEM <br />5 LNADINGL%CAVATIONBCIUNINCICRU11111NC <br />6 ORAINAGF <br />7 ENVIqONn1ENUl IMPACT STATEMENT <br />B MEAITN OIiiNICT <br />DATF <br />AppL�CAi�pr: ACC OY PLANS CMECKED OY I APPR FOR ISSUANCF BY <br />9 7 %9 <br />I HEREDY CERTIFY TfiAT I HAVE READ AND E%AMINED 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 BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCfI THE PROVISIONS OF <br />ANY OTHER STAT[ OR LOCAL LA�Y REGUL�TING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SICNAIUHF OF CONTRACTOR OR AUTHORIZCD AGENT DA1E <br />� !` l� � G � ��/6��2 <br />MECHANICAL <br />TYPE OF EQUIPMI <br />AIR [OND 11NIi5-11 P EA <br />R[(RIG[RATION UNI15—H P FA <br />HOIlLRS—�I Y M <br />GA$ FIHFD �� U!1��5—TONN�CE EA <br />IORCFUAINSYSTEh15—HTU MfA <br />N'All NIAiCRS—OTU M <br />UhIiHtA7ffl5-111U AI <br />[\'AFONA�IVF COOLFR$ <br />ClO7Hl5UHYFRS <br />Vf NIIlA710N FAN <br />RANCfM00� <br />AIN HANUIING UNIT— C F At <br />S10V1 <br />ME7Al fIRfPUCF d CMIM�EY <br />PLAN CI II CA <br />SUB iOTAL <br />TOTALf[E <br />FFE <br />FEE <br />� <br />S <br />S <br />CHECKFFE <br />HECEIPT NO. <br />fEE <br />OUIIDINC S <br />PlUM01NC <br />MICMA4IUL <br />OTMER <br />Pf NAITY U 0 C <br />SEC JOI�a) <br />TOTAI <br />PfNMIT VAIIDATION <br />1VHFN PROPfNLY VALI�ATED U� TMIS $PACEI TMIS ii YOl1R PEkM1T <br />� <br />