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t�e Evergreen A P P L I C A T I O N F O R <br />°�TM°F CONSTRUCT�Oh <br />everett PERMIT <br />DEP7 OF COMMUNITY DE\�ELOPMENT SERVICES <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 �COMBINATION C aUILDING <br />OR 061CNlM <br />MAII <br />❑MECHANICAL ❑PLUMBING PERMIT NO. <br />UiY ZIP PMONE <br />�c'�LtF �/+�c � r�'�.rt//,1G ui�9Y ctis <br />��T� ZIP PNONF <br />everen <br />e <br />GErvlRAlCO41RAC10P MAIL ADDRE55 UiY ZIP pNON[ IICFNSf 1 <br />/2� ?Gc G'G•�(/ST/c�C 7/CN ,/ �i.3 i?'�i,F.EKc`7 ST. ,/li.F'/,�//�NJ� LG'/�J, gZz Z28r <br />nl' 'IUNIUI CON1N�Ci0R M1l�ll nDDP[$5 CIiY 21P prypry[ .`� � ���/5�0 � <br />J <br />1`1L�1111[LIONiRAQOR .4qIl�DDN[SS ❑IV ZIP PIIONF LIC[NSf1 <br />R�55Oi WONN <br />❑NEW �ADDITION <br />V�WAIIOV Of N'ONS <br />' /Z OlX% . 00 <br />otsCemt woxr: <br />PRUPOS[D l5f Of NWIDIhC <br />❑ALTERATION ❑REPAIR ❑DEMOLI7;ON ❑FENCE ❑SIGN ❑GARAGE ❑DUILDING RELOUTION <br />IEWI OfSCNIPIiO�v pf PROPCq1Y �SMOWN 911ON' U4,1iGCN fOUN COPllil <br />ioi _ oioa _ or <br />cSFJC' /{y%�Cfl`L'1� <br />loN <br />PIUMeING <br />NO. TYPE OF FIXTURE <br />N'A7fN CLOSEi�TOLIET) <br />IlAT11iUf1 <br />i.nvnroev iwnsri unsir+i <br />SMOKIR <br />K17Cl/EN SINK 8 DISP <br />IAUNDHYTRAY <br />CLO7H6 WASHF0. <br />K'MFN HEATER <br />ORINI:ING FOUNTAIN <br />VACUUM 11Nf AKENS <br />ROOF DR�INS—NAINLEAOFftS <br />SINK 6f RVIC[ —NAR. f iC 1 <br />T07A1 iEE <br />SIDEYARDSlT11ACK STRfCTSRpACK <br />USF ZONE I lOi AREA <br />TYPk Of CONST OCNPAN�Y GROUP <br />'�' - / 'r:� � TEIJ4 UG 8 G <br />SIZ( OF BLDG NO OF 570RIE5 <br />,�. � <br />fIRCZONL pASEMENT HFONOOAtti <br />APPpOVALi <br />1 FNVIRONM[N7AL CHECA LIST <br />z euiioiNc rinns <br />7 FlNC HYDRANT <br />i NNF PNOTEC710N SYSTEM � <br />5 GRADINGII%U\'ATIONbCIUXINGIGRUNIiING <br />6 DftAINACE <br />] ENVIRONMfNUI IMPACT STATEMENT <br />8. HEAUM UISTRICT <br />nVPlICM10NACC 6Y VLANSCMEIXEDOY <br />� �� I�� �. I „ <br />9 i-7° <br />FEE <br />I HERE6Y CERTIFY THAT I HAVE P,EAD AND EXAMINED THIS AP- <br />PLICATION �ND KNOW THE SAME TG 6E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDI�JANCE$ GOVERNING THIS TYPE <br />OF WORK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THC 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 PERFORM�NCE OF CONSTRUCTION. <br />SIGNATURE OF CONiRACTOR OR AUTHORIZED AGFNi DATE <br />MfCMANICAI <br />��l <br />REfRIGERATIONUMiS—HP EA <br />noueas-i+r u <br />GAS HN[0 AC UNIT$—TONNAGE iA <br />FONCEO AIR SYSTEM1IS-81 U M E� <br />WALLHFA7FN$—UiU. M <br />UNIi Hkn7ENS—fi i U h1 <br />lVAPOHATI\'f COOLERS <br />CLOiHkS DRYERS <br />VlNilUiION MN <br />RANGFNOO� <br />AINHANOLWGUNIT— CiM <br />StOVt <br />MCTAI <br />s <br />S <br />RUN YARD SF if1ACK PUN CMRK NUh1�ER <br />; sy//o �ri i' <br />\'ACANi 51 f i FEES <br />❑YES Cn0 <br />NO OL DWEILING UM1liS <br />htA% OCC IOAD <br />flNk SVBINKlERS <br />XIQUIRE�U�� <br />`VIS fTNO <br />BY DATE <br />APPR FOR ISSUANCE fiY <br />� . � . <br />8 CMIMNFV <br />SUB TOTAL 3 <br />PERMIT S <br />TOiALlEE S <br />PUN CMECK fEE <br />FEE /? RECEIPTNO. <br />� <br />(„ O � <br />VAWAiION fEE <br />uuitoinc ` <br />s��� <br />1'LU�11iING <br />AtFCf1ANIG1 <br />OTHFR <br />PE'�ALTI UOC <br />SLC J011,�l <br />TOTAI <br />PEPMIT VALIDATION <br />WNEN PROP(RLY VALIDATE� IIN iH15 SPACEI TMIS IS YOUR PERMIT <br />Z <br />�U <br />