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` <br /> the Evergreen �' 'P�L I C�►T i O N F O R <br /> CITY OF �U NP E M TT I O N eV� <br /> everett <br /> . DEPT OF COMMUNITY pEVELOPMENT SERVICES <br /> CITY HALL 259�8745 <br /> EVERETT, WA9B201 �COMBINATION ❑ BUILDING ❑ <br /> MECHANICAL ❑PLUMBING FERMIT NO. <br /> "�v"�R nun nuou[ss <br /> - arr zir v�w.a[ <br /> - -+/L �� � .__ <br /> AqCHIi[CiONO[SICNFft MnIIADORE55 � <br /> Uil ZIP PIIUnf <br /> C[N[NALCO41HAC10R MAtLApONL55 <br /> GiY yIP PHONE <br /> IG'�',. L '. l^ •. - :- ��. ' � LIC[HSEN __, <br /> ,��<<„�� ti2�,,.,,� � ., �. .,,=-, u, , _ . . <br /> l(O\1N1JON�� AIAILADp0.E55 . � .:. , , � <br /> ❑iY LIP p110NF � <br /> �I�ENSE N <br /> PIU\IBNL[ONIXACION h1AllApDHf55 <br /> ��TY ��P PHONF llC[NSF I <br /> 1US50f 1\'00.K <br /> n�EW QADDITION ❑ALTERATIO�J ❑REPAIN ❑OEMOLITION ❑FENCE ❑SIGN ❑GARAGE Jl3UILUING RELOCATION <br /> vn�wnon ot woeK <br /> s �OO1,J 'i <br /> UISCRIPf WORF <br /> t° V!. �1�? ?< l-1 a/',,y ,;',� 7 � c� t=7�-f l �LV J�. ��1= � <br /> ruovosEo use or nunomc .. <br /> I HFRE[3Y CERTIFY THAT I HAVE READ ANC E�AA11N?D THIS AP- <br /> FLIC�TION AND KNOW THE SAME TO BE TRUE P,NU CGRRECT ALL <br /> iFenioFscaivuo�vorvaoreervisrowHxEiowoenruo�ro�emvi�s� PROVISIONSOFLAWSANDORDINANCiSGOVERNINGTHISTYPE <br /> ioi _xioa__a� OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> OR NOT THE GRANTING OF 4 PERMIT DOES NOT PRESUMF TO <br /> GIVE �UTHORITY TO VIOLATE OR C�NCEL THE PROVISIONS OF <br /> ��� � � �'��� � ' �� "z� " ��/� ANY OTHER STATE OR LOC�L LAW REGUTATING =ONSTRUCTION <br /> OR THE PERFORMANCE OF CONS?R'1CTION. <br /> SICNAiURF OI CON7RACiOR OR AUTkIORI7.ED AGENT DATE <br /> 1011 nppR155 <br /> 9 / <br /> y � t / � <br /> a A %_ _(1,LI .Ol.'i��n.,/ii'f/Z. ' - _ . <br /> PWMBING MECHANICAL � <br /> N�� TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WATFR CLOSET�TpIJET� AIH CONU UNITS-H P EA <br /> nniriruu <br /> NEFRIGERATIONUNIiS-HP EA <br /> LAVATORY f\YASH �ASIN7 _ E101LER5-H P E� <br /> SHOWEft <br /> CAS FlHED A.0 UNITS-TONNAG� EA <br /> KI7CHEN SINK B DISP FONCED AIR SYSTEMS-li T U M EA <br /> p15R'ASHpg WAIL HMiEN$-f3 i U M <br /> IAUNDNY TR,1Y UNR HkATENS-A T U M <br /> CLO7HES\YAiHER El'Af'ORATIVE COOLERS <br /> N'ATER HEATFR CLOTIIFS DNYERS <br /> � UHINAL V(NillAilON FAN <br /> URINKIhG FOUNiAIN ftANCF MOOD <br /> FIOOR ORAIN <br /> ' AIB HANpLINC UN!T- C F M <br /> \'ANUM HREAKFRS S70VL <br /> �� NOOF DRAIN$-kAINtEAp[H$ � � <br /> � MCUL FIdFPIACE 8 CFIIMNEY <br /> � SINK(SEqVICF-9AN. FiC) <br /> SUd TOUI SUB TOTAL f <br /> PEPMIT S PERMIT s <br /> TOTAtfCE S TOTAIiEE S � <br /> SIDE YARD$CTOAU; SiREErT�$_CT�LIACK RUR Y�ND 51 TI7ACK PUN CI!LCK�:UMUER PUH CMECK FEk <br /> �� �� <-LJF� 2_�j�_ �, FEE �� RECEIPT NO. <br /> � usEzoNc �ornrsEn �{� vncnNrsiiE �/�ay8` `�`� .ra �'G <br /> 1 4Z-Z l?�`C+ Z�1� ❑YES �tNO FEES VALUATION FEE <br /> � � iYP[ Of CONST <br /> OCCUPANCV GROUP Np OF OWFLIING UNI75 <br /> �-'� i'�G::;"`�i � _ _ <br /> � BUIIDiNG S. - �t' <br /> f 511F OF ALDC NO OF STORIES h1AX OCC LOAD � GEX�7. =U ���` <br /> . .�t�rloW !71 P:. � � ' _ <br /> '-�-- rwn+liiNG <br /> FIHk ZONE [tA$fMENT 11lUROO.VS F'i2E SPHINKLFHS , <br /> ,__. NFGUINEU niECMnN�G� <br /> - ' � �:VfS f�NC$�• <br /> APPROVALS BY DATE OThIER <br /> 1 [NVIHONMCNTAL CMECK llii <br /> PE NAL I Y U.l7.0 <br /> 1 EIUIL�ING PLANS SEC. 307�a) <br /> ) FINF HY�RnNT TOTAL j-� �� I <br /> A FIkE PftOTfCTION SYSTEM PfRMIT VALIDATION <br /> S CNADINGf%CAVATIpN b CLtARINGIGRUHNING ��MEN PROPERLY VA�IDAiED�1N THI$$PACE)iN15 IS YOUR PERMIT <br /> G DRAINACE <br /> J ENVIRONMENUL IMPA[7$TATEMENT <br /> I 8 HEALTH OISTRICT <br /> APPLIC.\TIOA ACC BY P�ANS CHiCKf D BY APPR (OR ISSUANCE BY <br /> L c� <br /> V.l.7q —. <br />