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, <br /> �PPLICATiORI F�R everen <br /> fhe Eve�green C O N S T R U C T i O f� � <br /> CITY OF <br /> ev�rett PE RM AT <br /> ( DEPT. OF COMMUNITV DEVELOPMENT SERVICLS <br /> CITt HALL :59-0745 � <br /> EVERETT,VJA98201 ��OMBINATION ,�BUILDING ❑R:�CHANICAL ❑PLUMBING PERMIT NO. <br /> pµh�p n1All nUDXi55 Crtl Z�p PIIONi <br /> •��—�G.il u so,J 5�8'0/ l���-t Pz, CTiJ�'he� 2.�Z —92-// <br /> ANOIptU OR U[9GtiIN MAIL ADDHI55 UtY ZIY PNOtiE <br /> GEY[N�l CONiNM1:�p0. MAII AL�NfSS CIiY ZII' PNONE IICENSF Y <br /> mtCMnnlUl CONINAQOx Mnit nODNE4 GLY L�F >NONf IICFMSE 1 <br /> PWMH�\G<ONiN�C10R bUIIAOpN155 UIY ZIP YMONE IICENSfM <br /> (U1>UF NOftK <br /> ❑NEW ❑ADORION ❑ALTERATION ❑REPAIR �EMOLI1lON ❑FENCE ❑SIGN ❑GARAGE �BUILDING RELOCATION <br /> \'AW.�iION Of\YOfiN � � /� y � n�� - n <br /> i �LLL�CC.0 f6S v�"�NGCi �f.c�N ��G { '�`�..IGI� �4-l� <br /> Ot5C1UN1 KOxA � � � r <br /> �.Zae�e� .-t.�.t � � �ou-�- .� .!!J, �ut�**e; <br /> ruoi-osiucsi of wioi�. I HEREBY CERTIFY THA I HA READ AND EXAMINED THIS AP- � <br /> �� PIJC�TION�ND KNO\Y THE SAME TO BE TRUE AND CORRECT ALL <br /> itui otscuirnou or vxori.Hn si+own e[iow �a nnno�wuR cori si PROVISIONS OF LAW$ SND ORDINANCES GOVERNING THIS TYPE <br /> ',C/' , (7��� Ao. ��„����`�I (�;d � OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> LOl�LOCN��Of d�� —� OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> �yQ��,( tp�/� ��'Ji,2(`g���I�coc (/� d� ANY OTHEROSTIATE R LOCAL L W EGULATING CONSTRUOCTION <br /> � [ �, � �/� OR THE PERFORMANCE OF CONSTRUCTION. <br /> . � ZD WI��• �1VJ• CO • J��GZ y SIGNATUC�OF CONTRACTOR OR AUTHORRED ACENT DATE <br /> I H AIIIINf�/ - /� h n �� V � <br /> Q/ <br /> 0�071'LO� (/ � e 9 � �z- <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURF FEE NO. TYPE OF EQUIPMENT FEE <br /> R'ATER CLOSET�TOLIETI AIR COND U�ITS-H J [A <br /> I1�THTUO REiHIGCHATION UNIiS-H P EA <br /> LAVAT00.YIW�SHI7ASIN) BOILERS-HP EA <br /> $MOWER GA$fIRED AC UNITS-iONNAGE EA <br /> KI1�NkN SINK 8 DISP fONC!D AIR SYSTEMS—�{T U M EA <br /> �IRVASHER R'ALL IIUICHS—l7 T V M <br /> inunokr rrsnv ur+it Htni[x�–n r u n+ <br /> CLOi1115���5HER L\'APONATI� COOLERS <br /> WAIER HEAilN ClO7Hk5 DNYFHS <br /> UkINAL \'I MILA710N FAN <br /> URINKING FOUNTAIN RANC[ MOOD <br /> ROOR DR�IN �\IN HANDUNG UNIT— C F M <br /> VACUUM1117RUKCRS S70Vf <br /> ROOf �RAIvS—RAWLEADEHS h1EUl FBFPUCE 8 CHIMNEV <br /> SINK�SCP.VICf—17AR.CTC� . <br /> SUH i01A1 SUB TOTAL S <br /> PERMIi S PERMIT S <br /> TOTAI iFF S TOTAL FEE s <br /> 51[][ YAND SLii{ACK STP[E7 5[T�ACK RUN YANO$ElOACK PIAN CIILCK NUMIItR PIAN CMLCK FFE <br /> FfF RfCEIPTNO <br /> 115E ZOM1� lOT ARLA yAGNT SITE <br /> ❑Yf5 GNO FEFS VAWATION FEE <br /> 7YPL OF CONST OCNPANCV GHOUP NO Of UWf IIING UNIIS <br /> I1UIt.UINC s <br /> 9Z[OF OIOC NO OF STGHIkS MA% OCC LOAD <br /> NLUMBING <br /> FIkfZONE �ASEMENT I41U800MS HIQUNFDKlCNS ti1101ANIUL <br /> �IYFti f1N0 <br /> AVPNOVALS BY DATf O7HFH <br /> 1 fNVINONMENTALCMECKLIST r�h��t� U[IC <br /> SfC JOl(a) <br /> 1 f7UIL�INC PUNS <br /> � J FlNt HYDNANi TO7AL <br /> a Flflf PRO7ECTION)VSTFM PERMIT VALIUAiION <br /> WIIEN PHOPFRLY VAIIUATEDIIN THIS SPACE)THIS IS'fOUR PENMIT <br /> 5 GRAUINCII%C�VATIpNBCLfARINCiGRUBflING <br /> 6 DRAINnCE <br /> 7 LNVIRONMENiAt IMPAf_T STATEMENT <br /> B HFALTM OIS7RICT <br /> hP7LICMION ACC NY PLANS CNFCKE7 BV APPft fOR ISSUANCf OY <br /> 9-7-;Y <br />