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f� <br />r <br />e <br />f�e Evergree^ ." P P L.1 C A T 1 O N F O I' <br />°�n°F CONSTRUCTION <br />�verett PER���� <br />DEPT. OF COMMUNITV DEVELOPMENT $ERVICE$ <br />CITY HALL 259�8745 <br />EVERETT, WA98201 �COMBINATION L� BUILDING ❑MECHANICAL ` PLUMBING PERMIT NO. <br />ON'N[p nNILAO0MFS5 CI11 \ZIP YMONE <br />�� �' _ \� �'1 /��'� �� <br />; r ,� r� � 1 �w,( � ���U` ��YY,r I ri�,i i `�i : �_! ;ci�x� 9C; �J-� Z , ., .7::;�� . <br />�pCNIT C OR D[SICN( M��l A RESS CIiY ZIp PHONE <br />everen <br />e <br />CUSSOLWORK <br />❑NEW ❑ADO�TION <br />W W�TION Of \V00.K <br />! <br />�l5CRI0F \VONK <br />G . 'i � C <br />yR6R15ED US[ nf pLRUirvG <br />�� � � �l.il�� ( ( <br />TERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br />IEGAI DISCRIPIION Of P0.01'F0.iY (SNOW N 8[lOW ON AiiACN fUUR COFI[5) <br />ioT _ eic« _ or <br />ion�ooxuz <br />PLUMBING <br />TYPE OF <br />ItA7MTU[1 <br />IAVATORY(WASM flA51N� <br />SHON't R <br />KITCNEN SINK d DISP <br />IlI5Wn5MFR <br />UU�DRY TRAY <br />CLOTHES\YAStlER <br />\h'AifR HFA7ER <br />URINAL <br />pHINKING FOl1NTAIN <br />FLOOR pRAIN <br />VnCUL�nI NRFAKERS <br />ROOF DRAINS�-RAINLkA� <br />iINK (SEN�9CE—PAft. ETC � <br />USE ZONE <br />TYPF OL CONST <br />F <br />SUB TOTAL <br />PERMIT <br />TOTAIiEE <br />2CR SCTItACK <br />T AREA <br />CUPANCY GR( <br />1. OF STORIES <br />$EMENT OL <br />S <br />VACANT SITE <br />❑YES ❑NO <br />NO Of DWEL <br />FEE <br />� APPROVALS BY OAiE <br />1 ENVIRONMCNTAI CMCCK L15T <br />2. dUILDING PUNS <br />) HftFMYDRANT <br />< fIHkPHOTECTION5Y5TEM <br />5 GN�OING�f%UVA710N8CLkANINGLHVBI7ING <br />6 ORAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />6 NfAITH �ISTRICT <br />APPI IUTION ACC. BY PLAN$ CMI:IXED 6Y APPN. FOH ISSUANCE BY <br />91 %9 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAW$ AND ORDINANCES GOVERNINC THIS TYPE <br />OF WORK WILL BE COMPLIED WITH �YHETHER SPECIFIED tiEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE ALITHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STAT[ OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORh7ANCE OF CONSTRUCTION. �,(- —� <br />SIGNATURE OF CONTNACTOR OR AUTHORIZED ACENT DATE `//�'/U' � <br />�% ' /I, <br />x��l - .�(/l �� A %��/ �%i ��� <br />AECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR COHD UNIT$—M P. EA <br />REFRIGERA710N UNITS—N P. EA <br />901LER5—H P EA <br />GAS FlRFO A C. VNITS—TONNAGE EA <br />FORCFDAIRSYSTEMS—BSU. M <br />N'AlL MUTkNS—Il l U. M <br />UNIiHEATFRS—IITU. M <br />EVAPORnTI\'[ COOLERS <br />RANGEHOOD <br />AIR MANDLING UNIT— C F M <br />STOVE <br />METAL FIREPLACF 8 CMIMNEV <br />CK NJMtlER <br />FEES <br />iOTAIFEE <br />� <br />FEE <br />� <br />3 <br />3 <br />PLAN CMECK FEE <br />RECEIPT NO. <br />V FEE <br />QUILDING S <br />PWh1fiINC <br />MECHANIUI <br />O7HFR <br />PEfJALTY U.00 <br />SEC 3031a� <br />TOTAL <br />PERMIT VAIIQATIOH <br />\YHEN PNONERLY VALIDA7ED (IN THIS SPACE) THIS IS YOUR °ERMIT <br />, <br />� <br />J■ <br />