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tne Evergreen p1 P P L I C A Y I O N F O R everetl <br />��n�F �ONSTRUCTION <br />everett PERMIT e <br />DfPT. OF COMMUNITY DEVELOPMFNT SERVICES <br />CITY HALL 259�8745 <br />EVERETT. WA98201 �COMBINATIr�N C BUiLDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNIR MAILAppHf55 ��i1 !IP PIIONF <br />,.�,��;- „�a�--i��r� ������:.��y ���� �,s � �7�.:> <br />�RCHITFQ Oft O[SiC�+f R� butl A0�R65 Cllv ZIV FHGNF <br />�l�l E J� ���N �C� �<hJ�� C Y��V(— �5��/�� ���� Z- 3��1�3040 <br />G(NEH�L CONIAAl10R AIAII AODRFSS � ��11' 211` PNONF IICENSE 11 <br />� � �/2=�( � _ FG—l_t ' YS-CLir4,TC <br />n�FC�uhtUl <br />PIU+IItI]GIOVINnC100. nlnllA�p0.t55 C�tY 211' PHONF IICENSFN <br />(�lA/1f OI NpNN <br />y1*NE�� ❑ADDITION ❑ALTERATION CJREPAIR ❑DEMOIJTION ❑FENCE �SIGN ❑GARACE ❑BUILDINC RELOCA'ION <br />VAIUAtION nO!' �WOyNK <br />S /�/V V ////// <br />UISIHIIt! \VOXK / / �1�� '�/� <br />i� �<'s.,. , n-n,� n� .. r f.1 �..,r �i.C= i� Y/l�. F"iii-i •,':.Q.VI%/�L%l </ !, N �*fl�! <br />rxovoseo ust o� nmioivc <br />l[GAl DESCRIPIIOM1 OI CNOPfR1Y ISIION'V 9f lON' ON �ItACM fOUN tOPIFSI <br />ior _ xioc. _o� <br />ion +nnuess <br />l L/ 7 .> �%'c'--7, �C, � ��_ ��1,, <br />PLUMBING <br />NO. � TYPE OF F <br />N'ATtH CLO`iET(TOIIETI <br />LA\'AiORY I�YASH HASIN� <br />SHOWFR <br />KITCMFN $INK 8 DISI' <br />DISlYASHFN <br />IAUNDRY 7RAY <br />CLOfHLS N'�SHFR <br />1YA1FN HUT[R <br />UNINAL <br />DRINKINC fOUNTAIV ' <br />f LOON URAIN <br />VACUUA1flRfAKfNS <br />kOOF ORAIN$—Nf.INLFAUF <br />SINA 6FRVIrI—On3. ETC 1 <br />SUB TOTAL <br />PERMIT <br />TOUI fEE <br />SID[ YARD 5! TNACK STRE[1 SRIiA <br />USE LO�:E lOT AREA <br />rrvt �t coi+sT occuenncr c <br />SV.L OF liLpG NO UF STORI <br />F18E ZO'�( OA)EMEN7 <br />APPROVALS <br />FEE <br />S I <br />'K NUR YANU SCiIiACI <br />VAUNf SIIF <br />❑VFS !7N0 <br />f•,p�p NO OF 0��'EILING L <br />$ 'dA% OQ LOAU <br />HIUNOOnri FlHt SPCINKlEFS <br />RtQU;ftED <br />�!YF$ fINO � <br />BY DATE <br />1 [NVIRONMENTAL CMEIX LIST <br />7 OUILDING PL�NS <br />7 iIR! HYDRANT <br />C RNt PROiKTION SYRFM <br />5 GRAUINGIf%CA\'ATIONb�LkARINLIL0.UH111NG <br />6 OH��NACE <br />7 ENVIRONh1FN1AlIMVACiSTATEMENT <br />B. MEALTM DISTHICt <br />APPLICATION ACC OY PLANS <br />i %: <br />o ev I nJrrrt �v a r <br />/� / / ' ' �, <br />� , ;,� � /i �'P <br />I HCRE6Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PUC�TION AND KNOW THE SAME TO 8E TP,UE AND COftREC7 ALL <br />PROVISIONS OF LAWS �ND ORDINANCES GOVERNING THI$ TYPE <br />OF WORK WILL UE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NO'f. THE GRANTING OF A PFRMIT DOES NOT PRESUME TO <br />GIVE AIiTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OThIER STATE OR LOCAL LA`N REGULATING CONSTRUCTION <br />OR THE PERFORM�NCE OF CONSTRUCTION. <br />SIGNAiUN[ Of CONTRACTOR OR AUTHORIZED ACENT DATE <br />(i_ i_C� 7 <br />k f—OC t 1/ �// .ti <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AINCO�tiD UM1I75-HP FA <br />RIfNICENATION UNIiS—M P I:A <br />t1011EH$—HP kA <br />CASFINCOAC UNIiS—TONNAGEEA <br />fONCFD.\IRSYSTCh15—UTU A1EA <br />W'ALLHEATtHS—OTU Id <br />UNIIMtAiCHS—pTU M <br />F\'nPORATIVL COOLEHS <br />ClOi11K UNYFR$ <br />Vf 4IILATION FAN <br />RANGFHOOD <br />nIN HANDLING UNIi— C F M <br />SiU�'t <br />.\1FTAL FlREPI.ACE A CHIMNEY <br />I'lAN CHCCK <br />uw�oi�.c <br />YI UMIIING <br />A1fCHAM1IUL <br />O7HER <br />PEtiALiY <br />TOTAI <br />PE0.MIT <br />TOTAI FEE <br />vUMtlEH <br />FEE <br />fEES �� <br />s � �� <br />VBC <br />SEC 3U3�a1 <br />FEE <br />� <br />S <br />3 <br />:HECK FEE <br />RECCIPT NO <br />f[E <br />PERMIi VALIDATION <br />WHtN PftOPERLY VALIDATEU �IN TMIS SPACE) THIS IS YOUR PERb11T <br />J(L�F./ 7[J 1��=. � ,c�Lc� t�.�-i , <br />�?/t��-?G <br />/�O27i �,�.� <br />/�2u�czT <br />\,'v ���' <br />� <br />: v,?oPC-�.�' : .0 �� <br />�.c ;j/uitr' �TC.� <br />f.�[:G_� L�/C/P/T�—G�f- — <br />