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APPLICATION FOP everett <br /> �ne Evergreen �p�y S T R U C T 1�N 0 <br /> �:n oF <br /> everett PER11AIT' <br /> �FPT OF COMn!UNIT7 OC�'ELOPMEtiT SCRVICES <br /> ❑TY HALL 259-8745 <br /> FVERETi.w�48:o� �COMBINATIUN ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> O�A4fR Mr�II.�DpN155 Oil TIP n �f+`�� � P1109f � <br /> � ,�� �� nl �'-�' �U$ �<t� ���/ /i'�i'zr"L-�C �'. VC;, i=Y[�r'�� :SY'`,�c��{ <br /> > <br /> GNCII11IC1 OR D451C\IN M/.IL AU�N6$ (II\ ❑1 O [ <br /> GlvtNnt CU91HM(00. m�ll�OORIR CIt\ ZII' VMONf LICFnSf t <br /> ��f(N�SIUlCO41P1C10R MMI�DOFi55 (J1Y bP PMONE lIRNSF� <br /> P11��IIIAf,(On1N1C10R AUII AODX[R CIlA ZIP PH04F IICENS[I <br /> L 1115(JV NONS <br /> ❑NEIV ❑ADDITION ❑ALTERATION �cREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> \M l�I I0Y OI N'ORR <br /> � <br /> ��J n <br /> Llf�YIBI WUNF <br /> �;+�T T,v� l� �` r, � � <br /> ��uorostous� oi xmio�nc I HERE6Y CERTIF;' THAT I HAVF READ AMD FXAMINED THIS AP- <br /> PLIC�TION AND KNOW THE SAME TO�E TRUE AND CORRECT ALL <br /> u�..i utscxivnoNor vaoe�un iv•aHnmiowox nnea�rouecornsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> OF WORK WILL 6E COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> �,�n _nio«_ai OR NOt. THf. GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Of <br /> ANY OTHER STAT[ CR LOCAL LAW REGULATI�'G CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUC7!ON. <br /> SIGNAiUR( Of COY7RACTOR OR AUIMOFIZED AGENT DATE <br /> �. .nOt�Xl�. o � � <br /> � 1�/ I�c� �/�c��, rv� . Cd�� r ',�—j Cs-�4' 7( /..%�n`a-,/ .T ..ri�� <br /> PLUMBING MFCHANICAI � <br /> NO. TYPE OF FI%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> �ti-nire aosEr noutn �iu co�o un;u-��r� tn <br /> ���iMt�❑ RffRIGERATIONUMiS—!IP U <br /> I nA'n10NY I�vASH HASINI Ilpill RS—H P F A <br /> SMOWkN G�SRREUAC UfJITS-70NNAGEEA <br /> KIICMI N SINK 8 DISP IOHCf U AIN SYSTLMS—N 1 U �11 CA <br /> pISN'ASHfN \YALIHlMtHS—IIiU M <br /> UUNUR1iRAY UtiI1HkA1tNS—BiU P1 <br /> COIHIS��"�SMfN IA',1POH�iIVi COOLtRS <br /> N'Atf R HLAIER CIOiHf C UHYFNS <br /> \9 hilUilON{A4 <br /> URINAI <br /> f]NIM1kIAG fDJNtA1N k��+�� ��nOD <br /> flOOY.UHAIN �INHANDIIhGVNIf— CFM <br /> V�CUUA1 11Hf AKI RS S10V[ <br /> NOOf ONAIYS—RAINLE ADE HS bti TAL!IRFPUCC d CHIMNEY <br /> SIrvN ISf NVICI—I1AR,F fC I <br /> SUBIOTAI SUBTOTAL 3 <br /> P[RMIT 3 PERMIT S <br /> TOTAIf[E S TOTAIfFE f <br /> SIDI vnFU 51 ifUCK S1R[[T SfTIUCK RUN YAHD Sf IUACA PIArv UIfCA f:U�MO(H PIAN CHECK F[E <br /> FfE RfCEINiNO. <br /> USE 70hL ��i�k�� VAUNi SIiE fEES V�lLUT10N FfF <br /> CYES �.k0 <br /> 7YP[ OI CONST OCNPANCY GROUP NO OI DN'IILING Uh1IS <br /> BUILDWG S <br /> SIZL OI I�I OL �O Of STORI(S ���% �« <U��� <br /> PI UAIUING <br /> IIX(iOrvf ffA51MkN1 If1UNUt�M1 HfOURlO�ltNS MlCiIAMUI. <br /> I'Ylt f'NO <br /> ARROVAlS B1' DATE OiHfR <br /> 1 [NVINONMfNUlO1ECKLIST pfNALTY UflC <br /> SEC l0Jlal <br /> : OL9lD�NG PUtiS <br /> TOTAI <br /> J RR! MYDXANI . <br /> � HHt PRO�fC710N$YSiEM PERMIT V�lID�710N <br /> WM(N P80PfR11\'ALIUA�FUIII. iHR SPAQI�i11S IS YOUH PENMIT <br /> � 5 GNA�IUG'Ixl�\'MIONBCLIANINGIGNUNIIING <br /> / <br /> fi DRAIv�Gt <br /> ) �N\'IFONb1ENUl IAIPACT'iiAT[MENT <br /> B HEAtTh10157RIC1 <br /> APPLIUiION ACC BY PLANS CNECKfD 9Y APPR IOR ISSUANCE BY <br /> Y 1 7'� <br />