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� <br /> fAe Evergreen �C Q N�T R U�C T I O RR <br /> � everetl <br /> CITY OF � <br /> everett PE RM 1 T <br /> DEPi. OF COMMUNITY DEVELOPMENT SERVICE$ <br /> CITY HALL 759.&745 <br /> eveRerr, wneazoi �COMBINATtON ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMITNC�. I <br /> � - MAII nOONRS CIt1 IIP PIIONE <br /> i�� � /. <br /> UN/q,d,�_!+n/9 ne.��FAi' isC.• �c' r4a�' 'JE'-�' 1f'�i >>' 9�}•' <br /> naunt[croaonieneu n+ni�nooaiss utr zir rHONp <br /> �/-cE'L1 <�.J.�j/� <br /> GFnfRnLCONtpAC10R ,llVlnD�RE55 [IiY 211' PHO4f IICFNSEY <br /> .� /ct� j%vv-y ��: i�f�� rdC_.C'77 4c �' f-'c.ft`%% �/,<C� .1J l' 66i y <br /> MLOInMUI COnIRnC10H n1All ApORF54 UiY 1'Y PlIONE �ICENSE Y -- <br /> MIn�pING CONIRACiOR MAIL�CpNLSS �'IiY ZIP PHOM1E II�ENSF Y <br /> CUSSOf 15'ONK <br /> ❑NRY ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SICN pGAR.�GE ❑CUILDING REIOGTION <br /> V A W A1 ION O{1Y00.6 <br /> S .� �C''� �*9 <br /> DUCPiIi[KOpK <br /> ruorostoux or nwiuitiG I HEREOY CERTIFY THAT I HAVE R[AD AND EXA�b11NED THIS AP- . <br /> PLICA710N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> ieenimscaiauororvaw�arvtvwwnnEio«�oenrrnunouneoviFsi PROVISIONSOFLAWS �NDORDINANCESGOVERNINGTHISTVPc <br /> ior_oiocK_ov 1J. /5 � ���> .)j „+�i �„T �_; OF WORK WILL E3E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> –�--o OR NOT. THF GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRGVISIONS OF <br /> ' Rl - .?J N;' >• ?. i A? –�– – ,G ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF.CANSTRUCTION. <br /> ).f,�� _7 ����, ,� � �� � N �� �� J � a 9GYATURF OF CONTRACTOR OR AUTHORRED AGENT DATE <br /> ION�pORfsS � V / � � <br /> ,7.1 j� � . � / <br /> iSC,Z icv:ii:-.+,c�' i=a�.�.-7i ,.r.-- X . '�� i lL , . �_ _'�'i c,2. <br /> f - �;� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> WnTERC OSET�TOUETI AIRCOND UNIiS–HP En <br /> BAiHTU9 � ft[FRIGERATION UNIiS–HP [� <br /> LAVATOftY�W�5HAA51N� ppIlLNS–HP EA <br /> � SHOWEH GA$FIHf'1 A.0 UYIT$–iONNACE EA <br /> KITCH[N SINK R D6P FORCFD AIR SYSTEMS–fl T U M EA <br /> DISWASNER WALLHEATERS-6TU M <br /> LAUNORITRAY VNIIHEATEHS–fiTU M <br /> CLO7ME5\YASHER tV'APORAi1VC COOlERS <br /> 1VAiER MEATER QOTHfS ORYEN$ <br /> URINAL yENTIUiION FAN <br /> ^RINRING FOUNiAIN gANCE HOOD � <br /> ��J °LOOR DRAIN AIN HANpIING UNIT– C FM <br /> �� VACI�UM 9REAKERS STOVF <br /> �1� ROOF �RAINS–NAWIEnDCRS n1CiAL FlBEPUCC R CHIMNEY <br /> � <br /> SINK�SERVICE–lIAR. ETC 1 <br /> ( ._ ......- .- <br /> v ^ aUBTOTAL SUBTOTAL S <br /> PEpMIT 5 PERMIT S <br /> i <br /> TOTAI(EE 3 TOTAL FEE S +, <br /> SIDE YARD SEIOACK STNEE7 SfTOACK 0.UR YARD$ETBACR FUN CMCIX NUh113ER p PIAN CHECK FEE <br /> �S /, S FEE p 3 RECEIPT NO <br /> �sE zor+r ior naen �2/O 3 0 ✓�Z �- �_ <br /> VACnNT Slik <br /> 7� '7 S'1 �� ❑YFS �NO FEfS VAWATION FEE <br /> ��� �.0 <br /> TYPE O� !��NST.-..,i� OCCUPANCY GROUP NO Of DWfLLING UNRS <br /> � IL'`- "� `• i. ' 7�l �:=1_= n�noir+c s <br /> SIZE U� %. DC NO OF STORIES A1A% qCC IOAU <br /> .-f J 1. . ��}�o:..i� � –^ PLIJMIIING <br /> ! <br /> HEf ZONE BASCMENI ULDNOOIdS FlRESPHI4KL[RS <br /> � _.� ,., . NEQUIRED b1ECHANIUL <br /> � !]YFS �N6� <br /> APPROVAlS BY DATE pTMER <br /> 1 ENVIftONMENTALCMEIXIIST UOC. <br /> PkNq�TY $EC )03�a) <br /> 2 EIUILOINC PUNS <br /> 3 FlR[ HI'DkANi TOTAL � <br />�, 4 flHk PHOTECTION SYSTFM — PFNMIT VAIIDATION V �, <br /> 5 GRAUINGFXUVATION 6 QkARINGIGHUN131NG ��DHEN�PNOPERLV VALI'fDATED IIN iM15 SF'ACq THIS 6 YOUR PEHMfi <br /> 6 �.iAINAGf .Qµ/ � � �"�� '�/!/ t1 ' <br /> ( <br /> I J. LNVIftONMFNTAI IMPACT STATfMENT <br /> B HFAITH DISTRICT <br /> APPLICr.'IpN ACC �V PLIN$CHECKED BY APPR FOR ISSUANCE HY <br /> .,.....� ,..�1�� <br />