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; ;i .. 6' L'� v� '�./ Lr' � �ol� �ili `I � L� :J - \�+ ` V 'J '� � cr �, <br />r�`�rt..� ' . ' ' . _ . <br />. .. ... .�.:�'l. . ,�.:'�... . . .. . <br />.. . , . . .-� � . . .. <br />.i__—_—'-__—__ -_`-__"__ _'__________ " , <br />� ---- -- --- - <br />----- <br />- -- - <br />- - -- - -- - -. <br />�� :� . �he Evergreei� , � � . <br />:�� �ver�tt �� CONS'�RUGTIG�I� � <br />!� Cli: HALL259-0705 PERMI�' - FERMIT NO. i�4�4 <br />�'� � � EVEfiEiT, WA 98201 �] COMBINATION ❑ BUILDING ❑ MECHAhICAL � ❑ PLUM6WG <br />;:� .r <br />_;�� � OWNEN . MAILAODRESS _ <br />. . . G1�1' ZIP . PHONE <br />�� AqCNITECT Ofl OESIGNEH MAIL p001iE55 <br />i.. <br />� - . CI7Y .. 21P ' . <br />-Y. — � PMONS <br />^ ' GEKEHALCONTP�.GTOR � " . MRILAO�RESS � <br />� . <br />. . GTY � Z �'T�O+E L�CEASEM <br />��' MECMANICALCONiqACTOq A!AILADORESS <br />..� CIT:' .' 21p PqONE IICERSE/ <br />"'_"�� <br />� CLFaS OF IYOqK -��- <br />' O NEW ❑ qDOITiON ❑ AL'"eRATION ❑ <br />VAlUAT10• � OF WUflK <br />_ _ <br />' ��T__BLOCK__pF <br />i � <br />, .IOB ADDflESS <br />. � PLUMBIN6 <br />� - _N�• TYPE OF FI <br />�.:. <br />�' � <br />SI!OWER <br />KITG:;'cN SINH 3 <br />CLO7HES WASHER <br />WA7ER HEATER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOR DRAIN <br />FEE <br />ROOF DRAINS — qq�NLEADEFS <br />SINK �SEFVICE — BAR, ETC.� <br />t. ENVIRONMENTAL CHF.CK LISi <br />7. CUILDING PIANS <br />3. FIRE HYDRAN— T-- <br />0. FIRE PROTECTIpN SYS7EM <br />S.GRADING �— <br />�. env�nurvmENTAL IMPACT <br />8. HEALTH OISTRICT <br />iOTAL = — <br />AIT S — <br />1L FEE S <br />iETBACK REAR YApDS <br />4, VACANT SITE <br />❑YES ❑NO <br />DATE <br />7 DEMO! ITI N�❑ FENCE O SIGN ❑ WOOD STOVEIFIREPLACE IN.;ERT <br />I EHEBY C TIFY THAT I HAVE READ AND EXAMINE� ��iIS <br />A PLICATI AND KNOW THE SAME TO BE TRUE �,NC+ <br />OFiRECT. ALL PROVISIONS OF LAVVS AND ORDiNANCES <br />OVERNI G THIS TYPE OF VVORK WILL BE COMPLIED WITH <br />HETHE SPECIFIED HEREIN Ofl NOT. THE GRANTING OF A <br />pFRMIT OFSNOTPRESUMF.TOGIVEAUTHORITYTOVIOLATE <br />OR CA CEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCA LAW REGtiLATIfJG CONSTRI,'CTION OR THE <br />PERF RMANCE OF CUN.TRUCTION. <br />SIGNAT E OF CONTPACTOp OR AUfHOPIZEU AG; .JT OATE <br />X <br />N0. TYPE OF EOUIPMENI <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. f'A. <br />BOILERS — H.P. EA, <br />GAS FIRED A.C. UNITS —'rONRAGI <br />FORCEO Alq SYS7EMS — B.T,U. <br />WALL HEATCRS — B.T.U. ' <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLCR^ <br />CLOTHES DHYERS -- <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIi — <br />STOVE — WOOD <br />MFTAL FIREPLACE 6 ��HIMNEY <br />FIREPLACEINSEqT � � <br />HEAT PUMP <br />� <br />0 <br />� <br />C.F.M. <br />SUB TOTAL <br />PEpMI'� <br />TOTAL FEE <br />L NUMBER , F <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUAMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />S <br />303 <br />FEE <br />S <br />S <br />f <br />:HECK FEE <br />RECEIP7 NO. <br />F[E <br />WHEN PROPERLY VALIDATED (IN THIS SPAGE) THIS IS YOUR PERMI7 � <br />?. `3 � <br />� <br />/v�' I � � 4 /1! / f . �. ,}'G'�,L�� r-i <br />