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�` <br /> ? PPLIC/�TION F�R everett <br /> fhe Evergreen �� N S T R�J C T I(�N � <br /> CITY OF <br /> everett PERMIT <br /> DEPT OF COMMUNITY D[\'ELOPMENT SCRVICES <br /> QTY HALL 259�8745 � <br /> EVERETT, WA98201 �COMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> ��y�;ip C� Mnn nuuu�u ❑*r Lir vuor+e <br /> /« �'l 7 �� c� -r s'�' �Ci j�n .Y I� / /�� , y� c��,, l.S� r� < <.' Z S 9 �� S'�[i <br /> nrtouriaorsotsitn�H mwi�noouus urr� / ziP r��or+e <br /> GkNIR�ICO�u1N�C10R tilAll AUORFSS CIiY ZIP PHONE L�EYE y� �� y��, <br /> �l �,�/ � i� <br /> � r- tT ,� .n �� ' ir ? 30 / �� l l- �r � // �% C' °� l ? � CIS71 �E'.rG GC_ — <br /> n11UUMGl C0�'1H�CiOR M�II�00NF55 (��� L P O F IICF SE Y <br /> PI l'SIIII\G CONINACIOR MNl AppHLS (I1V ]IP PHOY[ lIC`NSE I <br /> l lA\ti OI NOXK ��� <br /> ❑NE\V ❑ADDITION ❑ALTERATION ❑REr'AIN 'Ll' DEMOLITION ❑FENCF ❑SIGN ❑CARAGE ❑BUILDING RElOCA710N <br /> bAlUlliOnUl WORN <br /> f <br /> ❑1)l NIHI \\ONA . <br /> n 4 � � � � C.�. . _`. . � / _/C� L/ c; �F' <br /> rxurusto usi oi nuitni^�c I HEREBY CERT -Y THAT I HnVk READ AND EXAMINED THIS AP- <br /> PLJCATION AND KNOW THE SAh1E TO UE TRUE AND CORRfCT ALL <br /> ucniuiscxirnotioirnoviurrimo�+n'niw•soue�uo�iocx�ornsi PROVISIONSOFLi1W5 �1NDORDINANCESCOVfRNINGTHISTYPE <br /> �, OF WORK WILL UE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> io� �ui�rn�ui � � ^ � OR NOT. THf GRAf�TING OF A PERhiIT DOES NO�� PRFSUME TO <br /> �- GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> /� � � f � C'j !i�- -�4J)_��jc: � C�j � �THER STATE OR LOCAL IAW REGULnTING CONSIRUCTION <br /> � ���- THE PERFORMANCE OF CONSTRUCTION. <br /> / .�7 ,! �7 � � � � SIGNAIUNE O�ON�RACTOR OR AUTNORILED AGFNT DATF <br /> � V 1 � t' /T G.�, ..I L ( F, S c � /J <br /> rox.t�nx�ss � / // •T� �/ <br /> �� � � ) � C' U� �vr_:� X "C -. � 5-i.-'/ ,Q'� \ <br /> 7 �C i( t97 -� -� Y' Lvi <br /> i � <br /> PLUMBING MECH ICAI <br /> NO. TVPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT iEE <br /> WniIRClO5F71701IE71 ABCOtiD UNI7S-HP CA <br /> pATHTU9 RFfkIf,ENATION UNI75-M Y EA <br /> LAVnTOHY 6YASM fiA51N1 ItOILf RS-M P I 4 <br /> GASFIft[nAl UKITS-iOM1M1ACEEA <br /> SHOKfR <br /> KIi01[451�RADISP fONQp/IHSYSTtA15-111U MEA <br /> \VALLHfA7FR5-IiiU M <br /> D6K'ASHER <br /> UUNUNY TNAV UNIT HtATFRS 9T U Gt <br /> CLOIHFS N'ASHLH kVAPOFATNF COOLENS <br /> N'AItN MFnTtN CI07HF5 URYfRS <br /> VkhLILAIION IAN <br /> UNINAI <br /> pRWY1NG fOUMAIN NANGf MOpU <br /> fLOOR DNAIN AIR NANDIING UNIi- C F M <br /> VANUM 9HtAKkRS S10VF — <br /> ROOF UNAINS-RAINLEAUf RS MF7At HREPI.ACE 8 CHIMNEY <br /> SINK ISFkVK6-HAH.(1C 1 <br /> SVB TOTAI <br /> SUBTOIAL 5 <br /> PERMIT S PERMIT 3 <br /> TOTALfEF s <br /> TOTAI FEE + <br /> PLAN CMECK FE( <br /> SIDt V�RO 511IinU: STHE[T SCTf1ACK R(AH YAH[]SI TIIACR �'��N��{«����`��;�H ftECEIPi hD. <br /> FfE <br /> USF 7.ONl LOT ARFA yqUNT Slll {EES VAIUATION FEE <br /> C;YES ❑NO <br /> TVPF Gf W�`�'Si OCCUPANCY CROUP M1O OF DWHLIM1G UNIiS <br /> IlU1LUING S <br /> 41Zf OF �;IDL NO OF STOHIES MA% OCC IOA� <br /> PIUMHiNG <br /> FlHEZONE BASEMENT It1UHOOMS ��QV�RF�DKIFRS MECIUNICAL <br /> `IVfS �40 <br /> APPiOVAlS BY DATE OTM[R <br /> 1 ENVIRONMENiAI CMECK 115T V NC <br /> PFNALiY $EC 3U1(al <br /> z uunoinc rinns <br /> TOTAL � <br /> � rik[ �irounNr � � <br /> J FIRE PFOiECiION SYSTEM FERMIT VALIOA710N ��� <br /> R'HLN PFO°ERIY VnUpniLO(IN IHIS SPhC111��615 50LB Pf HM17 <br /> 5 CNAUINUfnU\mTIONBQknRING,'Cftl'POING <br /> 6 DNAINACF 1 <br /> 7 FNVIRONMENiALIMPACTST�TEMENT <br /> 9 HEnLTH OISiRICT <br /> .\PPUUI lOv ACC Ilti PLANS CHECKFD OY APPR FOR ISSUAN[E Il� <br /> � <br /> �,.-,, <br />