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fheEvergreen 4PPLIC�l1'ION FaJR <br />��TM°F CON��TRUCTIC�f� <br />everett P� RM IT <br />DFPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 259�8745 <br />FVERE7i,tvh9a:o� ��OMBINATION C7 BUILDING ❑MECHAyICAL ❑PLUMBING PERMIT NO. <br />everetl <br />� <br />�=y�Q.-vcXer �d-�1 �'�/�/ �'ra)i�' �v� /_-"���r�ll ,`�'b'�0�� 5.593s�� <br />n1I111 WUl CON1qeC10N Mell AOONl55 CIIY LP PNONE LIC[NSF 11 <br />Pll'n1lilnf, IONiNACi00. MAII ADDNISS CIiY LIp PMOVE IICEN$E I <br />NEW V^ ❑qDDITION CALTERP.1lON ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑6UILDING RELOCATION <br />e�m�nov or woua <br />s <br />uu<xurt �vox� <br />o usf or nm�oin:c <br />l(G�t DfS�tlOrv Of PqOPfNtY ISNOWN flilOW ON Al1AO110UX COPIE51 <br />lOi � BIOCa � Oi <br />PLUMBING <br />NO. TYPE OF FI%iU{ <br />N'ATFft CLOSETITOIIETI <br />AATM7UB <br />UVA70RY (WASM fU51N) <br />SMO�YFH <br />KITOIFN SINK 6 DISP <br />OIS�6'ASHFR <br />UUM1�RY iRAY <br />fIOiHIS W�SMFR <br />1YAIFN IIFATfN <br />U0.1NAL <br />UNINKING �OUN'A;h <br />FLOOR UY�Iv <br />l'ANUM HR[PKENS <br />NOOf ORAIH$—RAINIEADERS <br />ur�ric�uvin._n�e rrri <br />SIDf YAPp$f10ACK <br />�Sf ZOY[ <br />TYPE Of COrvSi <br />SIZC 0! BLDG <br />fIN[ ZONL <br />SUOTOTAI <br />PENMIT <br />TOTALfEE <br />STHECT 5(TItACK <br />lOT ARU <br />OCCUPAnCYGROUP <br />NO OF STORIFS <br />APPNOVAlS <br />1 ENVIRONMENULCNECKIIST <br />:. uuiioir,c Ni�ns <br />J FINE MipRANT <br />4 fIHEPROTfCTIONSY$TEM <br />5 GNADw(;�I%U\'.\iIONbCLtnRINGIGRUN0ING <br />6 DRAINAGk <br />7 ENVINONAtkNTAL IMPACi SiATEMEti� <br />8 MEAITH DISTRICT <br />I HER[6Y CERTIFY THAT I HAVE READ AND EXAMIIJED THIS AP- <br />PL!CATION AND KNOW THE SAME TO BE TRUE AND CORftECT ALL <br />PROL'ISIONS OF LAWS A.ND ORDINANCES GOVERNING THIS TYPE <br />OF \V�JRK WILL 6E COtviPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NCJT. ThC CRANTINC OF A PERMIT DOES NnT 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. p <br />SIGNAiUNE OF CONTftACTOR OR AUIHORIZED AGENT DATt r"f—�S' p,3 <br />MECHANICAL <br />FEE NO. TYPE Of EQUIPMENT <br />AINCO`�D UwILS—HP EA <br />NfFkIGERATION UNITS—M P EA <br />13011Eft5—M P EA <br />GASfIRE� AC UNR$-70NNAGEEA <br />FOHCkO AIN SYS7EMS—D.T U M <br />1VALL HEATFRS-9 T U M <br />UNITNkATFRS—fITU M <br />�5 <br />R[Aq YARD Sf7UACK <br />VAUNi SIiI <br />C:Y6 LNO <br />NU Of UWf LLING U� <br />MA% OCC IOAU <br />fBE SYHINKLkRS <br />HEf1UIftFD <br />f�1'IS �!NO <br />BY DATE <br />APPVUTION ACC OV PLANS CHECKf D DY � AVPN FON ISSUANCE NY <br />9.1J9 <br />VfNilUiION FAN <br />HAN(;E HOOD <br />AIRHqNOLINGUNIT— CFM <br />SIOVf <br />MFTAL FlRFPUCE 8 CIIIMNEY <br />1'UN CII[CK NU.ttUER <br />FEES <br />SUB TOTAL <br />S <br />P��N CHfCK FEE <br />FEE I RKEIPT NO. <br />VAWATION 11 <br />HUILUING S <br />"WMIII�C <br />MECHAMUL <br />OTMfN <br />PkNAUY UHC <br />SEC )O)�a� <br />TOTAI <br />PERMIT VALIDATION <br />\VHEN PROPkRLY V.\lIOATED pN'MI$ SPACE) TMI$ I$ VOUR PERMIT <br />FEE <br />