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i-�PPLICATION FO•-- everetl <br /> f�s Everpreen C O N S T R U C�'1 O N O <br /> CITY OF <br /> � ev�rett PERMIT <br /> BUILDING DEPARTMENI' TO BE COMPLETED IN INK - FL[ASE PRINT <br /> 259•8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANIGAL ❑ PLUMBING ❑ SIGN <br /> MAIL AOflRESS GiY ZIP PIIONE <br /> OWNER ' � y y_ .1�� � <br /> �<�.I �,, �h G � i r�� i>,,,. r._ ', '��i� f� � � fl .'o� , � <br /> c �� '�� -� u L'_�i ����o�,� <br /> APLIIIIEGTORUG. GNER � MMLA��IICSv CIIY l.lY <br /> /- ^� <br /> � i 1 ' C� ''�L .�._ / 7� ...J�l 0� <br /> GE�'EfiA�W TAAC'OR MRI�T�UR[55 CIIY Z1P PIIO F 1��i`��L�����GENSE• <br /> �'� /' _ `:]!-. �� Cr" ij-iC aZ <br /> j\ ( �� Z9J Ul.- - /��/ ��i /��.�s /�/�� .�✓�� n i': . i� Io27 �1�;� <br /> � ) (' l \ '1 � � IS 1 f'.GI,_(� CIIY 2P PIIONE L�C[NSE• <br /> MEGHnNICALGONTPAGiOq ' MAIL�OORE55 <br /> PLUMBING f,ONiRACiON <br /> MPI�AppPLS$ C�iY ZIP PIIONE LICENSE� <br /> GLASS Of\VORN <br /> ❑ NEW ❑ ADOITION ❑ ALTERATION ❑ PEPAIR ❑ DEMOLITION ❑ WOODSTOVE/FHPL.INSERT ❑ BUILDING RELOCATION <br /> VALUAL�NOFWORNICOSTOFMNtE�5FW5LADORI —M <br /> � <br /> �ESGRiOE WORrc <br /> nl.J � '.�V - <br /> usr:orom�mnc r I HEREBY CERTIFY THAT I HAVE RFAD AND EXAMINED THIS AP• <br /> S•�,1, .� � �,.,� � ��-, PLICATIONANDKNOYJTFIESAA+.ETOBETRUEANDCORRECT.ALL <br /> �eca�oescni IONOFPOOPCRIYISIIO'.YNBEIOWORN�IACHFOURCOPIE51 P(7UVISIONSOFLAWBANDORDINANCESGOVERNINGTHISI'YPE <br /> „__ " / OFWORKWILLBECOt�1PLElEDWITHWHETHERSPECIFIEDFIERE- <br /> � ���s - '''L" �INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUI�HORITY TO b'IOLATE OR CANCEL THE PROVISIONS Of <br /> , / �� _ _ ANYOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTION <br /> �p.$_(�� OR THE PERFORMANCE ��F CUNSTRUCTION. <br /> SIGNAiURE OF CONifiFGTOR OF�U71!OR12E0 AGENT D/.7E <br /> X � • _�_. � - a-�� -�' <br /> PPPLIGhNi5C1iY0US�NE55lIC[TI D. <br /> PROJEGT/.DOF[55 <br /> 230� k� � � „ _ <br /> ( n� �la or��t 9 � �1� <br /> PLUMeING MECHANICAL <br /> Np, TYPE OF FIXTUflE FEE NO. T1'PE OF EOUIPMCNT -� FEE <br /> �i. WATER CLOSET�TOILET) D � A�R COND. UNITS-H.P.EA. <br /> BATHTUB p U�D REFflIGLflA710N UNITS-H.P.EA. <br /> LAVATORVIWAEM BASIN) �D �OILEflS-H.R EA. _ — <br /> L SHOWC-R _ GAS FlRED AG. UNITS-TONNAGE E0. �A <br /> / KITCHEN SINK d�ISP. FORCED Alfi SYSTEMS-B.T.U. IA EA. __ V <br /> DISHWASH°R � WAILH[ATERS-B.T.U. M <br /> . I Y LAUNDRVTRAV __ UO _ UNITH[ATERS-B.T.U. M <br /> �' CIOTHES WASIiER _ EVAPOf7ATIVE COOLERS <br /> �7' CLOTNES ORVERS ' ��'� <br /> /r� WATER HEATER �' •� <br /> ' URINAL VENTILATION FAN - <br /> DRINKING FOUNTAIN _ I RANGE HOOD __ _ b <br /> FLOOR DRAIN ' � ___ AIF HANDLING UNR-_ GE�d___ __ <br /> VACUUMBFEAKERS _ S70VE __.____— <br /> ROOF DRAINS-RAIWLEADERS __ �7ETAL FIREPLAGE 8 CIUMNLY _ <br /> SINK(SERVICE-BAR.ETC. WOODS7OVE/FIFflPLACE INSEP7 /�.� - <br /> —�L wa�6317� <br /> SUBTOTAL 5 --� ! �✓U <br /> SUUTOTAL <br /> PERMIT 5 PERMIT f <br /> TOTALFEE S � TOTALPEE s � <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> PLAN CH[CH NU���Efi PLAN LNECK FEE <br /> iRO�+t$[IOnC J PENfiS�B�CK SiDE5Ei9RJK FEE C Q %� �ECEIPiNO C1C/ � <br /> 6��i>n,� cn ,. uF 7. � .� � >,( : f d !�y <br /> i � <br /> LSC20NE C��i (UPi� ' I'L ��tA��A V,yqC�NT51tE FEES VALUATION FEE <br /> � 5' . ��� �!� c Y4E5 ONO SO <br /> rvc[orc'oIr+si oturnrv�cJvcno3u�r rvoorowetuNcuNrts ,_ - <br /> �(Y l �\ � `J / pUIIUING S27(/ I — <br /> SL'E OF OLOG NO.Of S�Of11E5 MAX OCG LOA� - � <br /> � /� �� L�\ N� • PLUh101NG __ <br /> s�Ec�inNiCn� 5' <br /> FIRE SPRINKLERS REOUIRED ❑ VES ❑ NO ui��En _ <br /> -P.LNALS V - 1 rY � �.I�I ti 1 .VuI G -- I� , � _ <br /> PVPLICAlION aCC �� PLANSI'niCKED DV A��'� !O!i ISSU�NCE 0� �A�1 -� <br /> TOTqL <br /> �,�, ,-� � .G . - - IS�q. 2� <br />