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r fhe Eveigreen �P P L I C A T 1 O N F O R everett <br /> ����F CO�ISTRUCTI� I . e <br /> ever�tt PERM �T <br /> DEPT OF C0�IMUNITY DEVELOPMENT SERVICES <br /> CITY HnLL :59�8745 <br /> �veeETi. wn9eloi �COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> owntu n�+n wn�iss crtr ziv vuor+c <br /> Senior Citizen Center 3025 Lombard Everett 98201 258-4848 <br /> ANCllltlCIORUISICNfR n1AllADUNfSS CIiY ZIP VIIONF <br /> � <br /> GfMF0.�tCOVIHA(!UR A1AllADDRf55 UIY I.IP PHON[ �ICENSF1 <br /> Everett Mirror and Glass <br /> s1kC�unlUl CO�iR�C10H MAII M1DDN[$5 ❑IY IIP PHONF IICFNSF Y <br /> Ptl".�MIti�,CONiReCiOH M�II AOOR[SS CIR 21Y PHONF LICENSE/ <br /> CUsS Ut NOFK <br /> ❑NE\v ❑ADDITION ❑ALTERATION �iEPAIH ❑DEMOLITION CFENCE ❑SIGN ❑GARAGE ❑6UILDING RELOCATION <br /> V'nl l'�il(tN Of N00.N <br /> 4 79�. �� <br /> UUCNIIII bON¢ <br /> Install insulated windows <br /> reorosio usr oi xmiui.r. I HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> SettioY Center PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECTALL <br /> itr,ni o[scuirnovor raortxtsivro���iatiowoxeiuo�rouxcoritsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL E3E COMPLIED WITH WFIETHER SPEC�FIED HEREIN <br /> 1O1 —°�O1�K—°f OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNATUH[OFCONTHACiOR OH UTHORIZED AGfNT DATE <br /> �o"���`�� Lombard 1 ��� �� <br /> X <br /> PLUMBING MEC CAl <br /> NO. TYPE OF FIXTUNE FEE NO. PE OF EQUIPMENT FEE <br /> N'ATEH QOSf71TOLlET! AIN COND UNIT$—H V EA <br /> OA7HTUI3 REfRIGERATIONUN115—HP EA <br /> UNATOftY�WA5MpA9N) OOILLRS—MP EA <br /> $MO\vEH LA$FlHED AC UNIi$—TONNACEEA <br /> KIiCHLN$IM1K A OISP FONCEfJ AIN SYSTFM$-87 U M EA <br /> DISN'nSMER �v�ILMFA7ER5—IliU. M <br /> IAUNUftY 7RAY UNIi MEATkNS-0 T U M <br /> CLOiHtS WASMER � fVAPORATIVE COOLERS <br /> WAIfN HEATER CLOTHfS DNYIRS <br /> �glyAl VENiIUTION LAN <br /> ORINKING FOUHTAIN RANCE HOOD <br /> fIOON DR�IN AIN HAN�LING UNIT— C F A1 <br /> V'ACL'V�111R(AKERS $TOVk <br /> ROOf DftA!NS—HAINIFADERS h1FTAL FlRFPUCE 6 CHIh1NEV <br /> SINK 6t RVICE—HAR.k TC 1 <br /> SUB TOTAL SU8 TOTAL S <br /> � PERMIT 5 PERMIT S <br /> TOTALfEE S TOTALFEE S <br /> SIDF YANI)S(Tf11CM. STHf[T SRfiACK NUH VAftD S[TI1nCK PUN CHECA NUMOFR PLAN CHECK fkE <br /> FFE ftKEIPTNO. <br /> USF ZOM1L LOi ANkA y�UNi SITF <br /> �JYfS GNO �F[5 VALUATION FFE <br /> IYPf Of CON57 OCNVAN[Y GNOUP HO OI DW(IIJNG UNITS <br /> s¢E oF uioc NO OF}TONI6 Nnx occ wno uuaowc S 740 . 00 14 50 <br /> vwMnwc <br /> fIftEZ(��'f BA$[MEN? IIIUHUUM1IS �INLSYNIM1KLkRS <br /> RlQUIHfD MECHANIUL <br /> f'Yf5 ,"NO <br /> APPFOVALS BY DATE OiHER <br /> 1 fr:\�INONn1LNiALCH(CKLIA UOC. <br /> PkNALTY SEC 30)�a� <br /> 1 fiUIL[]IRG PUNS <br /> � nei NvoHnNi rou� 14 50 <br /> J flftF PNOiEC110N SYREM PERMIT VAIIDATION <br /> WHEN PRUPERLY VAUDATED pN THIS SPACFI TNIS IS YOUR PERMIT <br /> 5 CNAUIKG'!%(A`IAI�f,�NECLlARINGIGRUNHINC <br /> L DRAINAGF <br /> 0 <br /> L 7 ENVIHONMFNTALIMPACTSTATEMENT <br /> e �+enni+ oisruicl <br /> ApPUUIIOti ACC OY PLANS CHfCKFD DY APPR fOR ISSUANCE 13V <br /> 5-b77 <br />