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• dIe Evergreen <br />CIl Y OE <br />CITY HALL 2598745 <br />EVERETT. WA 90201 <br />0 *01\!STRiJ1".--p6 1,0N 0 <br />PERMIT �j�IT <br />❑ COMBINATION ❑ BUILDING 1.1 MECHANICAL 1 i PLUMBING <br />.A"I14 <br />VIIII AInnIL:.:. <br />... <br />IIP <br />I ","l 415/ <br />Reininga Corporation <br />425 California <br />Street, San <br />Francisco,CA <br />94104 391-2250 <br />Am.du11C7 01 ULLMAN <br />MAIL AMVII•.S <br />_.._.�__.. <br />I. <br />___—(0• <br />(•••(TIIE <br />D,ykeman & Ogden, Architects <br />3216 Wetmore Everett, <br />Wash. 98201 <br />252-3161 <br />4.1 NLNAL CONTfUC1011 <br />Lull Apl'111:•5 ----- <br />---trt, <br />----'-- jp <br />PN II,L ICIN,I <br />Johnson -Carruthers <br />300-120th NE Suite <br />230 Bellevue, Wash. 98005 455-124 <br />AVCMANKAL CONIRACIOR <br />MAIL AEIDIE 3S <br />CIIY <br />Ill. <br />(MORE LK:F) I <br />---. <br />_ <br />JOHNSI 227B <br />i HIM111NGBGNIAMf10R <br />MNI AI1011,Li1 <br />I!I <br />In' <br />IYII'NE ULFNA <br />-L 1 Ass Of walK -- _---- <br />NINEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑OLMOLITION I_IFLNCL LJSIGN ❑GARAGE <br />VAL UATK)N EV WUNK <br />IF 60,000 cu. yd $70.00 <br />III LCI41DE WORK ---� <br />Grading & Excavating <br />H, )KISEV USE Of BUILDING <br />I HF RERY C LRTIFY THAT I HAVE READ AND EXAMINED THIS A <br />PLICAIION AND KNOW THE SAME TO DE TRUE AND COHHLC <br />ALI. PRO'LIWIONS OF LAWS AND ORDINANCES GOVERNING III <br />T'IIT 01 1VORK WII L DF COMPLIED WITH WHETHER SPECIFY <br />HI-NLIN OR NOT THE 411ANTING OF A PERMIT DOES N! <br />PHESUMFTOGIVFAUTI-IORITYTOVIOLATEORCANCELTHEPR' <br />VISION•' F NY OTHIA 6TAIE OR LOCAL LAW REGULATIN <br />CON, 11 .1WTE PERFORMANCE OF CONSTRUCTION <br />ye 11 A' LI � ANU•(NVIU .1 fit UAIF <br />x / <br />LIGA1 ULLCfnP11F)NOl P,IDPUGICAIGW 11LLUWUNATIACIII,"f4 w'A!., <br />y,�A <br />,1 Att�f`*Lyed DP _ _ <br />— <br />ALOPILL <br />75th Street & Evergreen Way <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT FEE <br />A W I , `.D I r,I! . I" ' !A --__— — <br />- _-- Igllgrr •'11''^.' f;il". II —TA — — <br />!r 'n l <br />I,AI. f:Iq I Ar: l!r111:.-InNNAGF IA <br />f! fill'[ I' AIII of S11 f.15—B 11) MI'! — <br />Ia O. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />_ <br />(ATNTUB <br />LAVATORY (WASH BASIN) <br />SHOWIR <br />KIICHLN SINK fI UfSP, <br />_ <br />UISIIWASHEN <br />'.VAl l III MEW. — 11 T U !.1 <br />_ <br />_ <br />LAUNDRY TRAY <br />_ <br />UNIT 111 All IIS -- H 1 U !A <br />LLDIIILS WAS141A <br />I VAI'OHANVL C(KILI H$ <br />_— <br />LVAILEI IICATLR <br />t llglq r.. tirm ir <br />•.III AT ION I AN <br />— <br />URINAL _ <br />_— <br />— <br />DRINKING FOUNTAIN <br />_VI <br />HANIA. 11IKI0 _ _— <br />_--- <br />FLCXITI DFLAIN <br />AVI HANIV III(. UNIT -- C f IA <br />l'ACUVMFIHEAKFII$ <br />>'OL'I —_—_------ <br />!HIAI Illnpl ACl tI:IIIMN).Y <br />HOOF DRAINS — HAINLCAIR RS <br />— <br />SINK ISLHVICE — BAR. EICI <br />._ <br />_ <br />SUB TOTAL <br />_SUB TOTAL S <br />___—_-- _PEHMIT_ f <br />TOTAL fLF f <br />PERMIT <br />—_ _ <br />— --^— <br />_3 <br />TOTALFEE f <br />r-1A YA9,U SL 1 HACK <br />SIRLLT SLIHACK <br />fl(AH YAHU SL I HACK <br />I'LAN II II <br />FI A14(.1111.K <br />f LL <br />FEE. <br />RECEIPT IRO <br />L'SL ZONE <br />LOT AREA <br />VACANT SITE <br />thLS CFO- <br />FEES <br />VALUATION <br />- <br />FEE <br />Rl)ILUINtt <br />PLUKBIIN <br />—"-""""'---'--- <br />MLCIANLA1. <br />OTHfFt <br />IYI'L OF CON$1 <br />(OCCUPANCY GROUP <br />NO. OF UW'E I\U'1G DABS <br />e <br />l <br />_ <br />'aIl Of IRDII <br />NU OF $10110', <br />MAX CII LOAD_-_— <br />—"---" <br />1 IHL ZONE <br />BAS1 KIC111 <br />I III(. SFIBNKILF$ <br />REGUIHLO <br />11Yf5 11NO <br />—'--' <br />APPROVALS <br />BY <br />DATE <br />I ENVIRONMENTAL CHECK LIST <br />PENAL" <br />__.,T <br />TOTAL <br />U U C <br />SI-G 101 blly <br />.' IIUILUING PLANS <br />t IIRE HYUOANT <br />--_'—_ <br />A 1 ME P1401ECTION SYSTLM <br />- <br />: GRADING <br />PERMIT VALIDATION <br />Will Mu '15 ,1'r VA11PATC11 (IN THIS'A'ACI I Tlflo I$ YOUR PLIIIAIT <br />N DRAINAGE <br />I ENVIRONMENTAL IMPACT STATEMENT <br />B HLALTH DISTRICT <br />AI'i'LICATION ACC BY <br />PLANS CHECKED BY <br />AFI'R f UR IC.SUANCF BY <br />