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ths Everpreen A P P L I C A T I O N F O R <br />°�TM°F CONSTRUCTIOh <br />everett PERMIT <br />DEPT OF COMMUNIIY DEVELOPMENT SERVICES <br />f CITY HALL 259�8745 <br />EVEREii, wq 9a20t �COMBINATION ❑ BUILDING <br />�oouFss <br />M1IAI I <br />❑MECHANICAL ❑PLUMBING PERMIT NO. <br />utv <br />CIiY <br />evereM <br />e <br />LIP P110Nk <br />�%��n� 3��.�-�:�� <br />zir rHON[' <br />]II' PMON[ lIC[NSf Y <br />��Itll�n'IlI�IIVYIM1lIUX .4\All�lll)NI)] l.11l [I� YIIVYt lil[N�F� <br />Pll'\Ipl\Il CONIRAQOH AHII �D�XISS (I�Y LIP PHOKF IICENS[ � <br />1:1151 U! 1\U0.N <br />❑NEK' L�IqDDITION ❑ALTERATION ❑REPnIH ❑D[MOUTION ❑FENCE ❑SIGN ❑CAR4�:E ❑UUILDING RELGCATION <br />\'�lU�ll O! \\'ORF <br />S ��a� '� <br />❑lSCHli1 NUPK % . <br />PNOI'UStO L'SI Ot INIt01\G <br />ltGn1 nl scR�rtloN a1 vqo�' :,, uR�OR%N'xI lO�e ou nt/tncN i0ua COPn N <br />101,�010�n��U1 J��'///I/��/'�� <br />T <br />l/n / ,Y' n �� �/a�t �i.�� ,�l/ <br />� <br />PLUM9ING <br />NO. TYPE Of FIXiURE <br />1\'ATfB QOSf 7 �IOLIETI <br />IIMHIUB <br />U\'ATORY IIVASM OASINI <br />5110\\'( R <br />KI7CM[IJ SINK 8 DISP <br />nisvns�+[a <br />UU'�'OH1 7RAY <br />QO1Hf S 1\'ASMFH <br />N'AifH HUIEB <br />UR11�L <br />URINAING FOU4TAlY <br />riooH nHnir� <br />\'�CUU.V IIHEAKfRS <br />NJOf OH�InS-RAIhLEAOl0.5 <br />SItiK ISf N\9(:! -I1Ap. F TC 1 <br />SUB TOTAL <br />PERMIT <br />TOTAIiFE <br />SIOF YAN^/ 5lTIIACK STRER 5[TOACK <br />7tIZF z.`�F <br />USE ZO'�t l0T ARU <br />�-5 / C X h � <br />trre a cor,si occuanucveeour <br />SL'- N !+, <br />sizc or eioe no or sroeies <br />s;o;__ _ . .�?ir .. <br />._..c �L f',' :� p y y�c � <br />�INC7.ONf tU5Lti1ENT UIUHi <br />APPNOVALS <br />1 ENVIRONn1LNTAl CMECK LIST <br />7 fIU1LOiNG PUNS ' <br />) fIR[ MVD0.ANi <br />� flRk PROT[CTION SYSTEM <br />5 CNADINGi! %U\'n710N A Clf ARINGiCNUNflING <br />6 �RAINAGE <br />7 fNVIRONM[NiALIA1PACT5TATEMENT <br />8 H[AlTll DISTRICT <br />S <br />�S� <br />VACANT Sllf <br />�v[s Rno <br />I IIC :�.lil CERTIFY THAT I HAVE READ AND E%Ah11NED THIS AP- <br />PLIC�ITION AND KNOW THE SAME TO 8E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS �ND ORDINANCES GOVERNING THIS TYPE <br />OF WORK N'ILL RE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT THF GR�NTING OF � PERh11T DOES NOT PRESUME TO <br />G�VE AUThiORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />�Nl' OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERfORMANCE OF CONSTRUCTION. <br />SIGUA7UN! O! CONTRACTOR OR AUTHORIZED ACFNT OATE <br />�L�i.,,.. _ � ,�,..� %,, _�J ._��'�� — �� <br />MECHANICqI \ J <br />FEE NO. TYPE OF EQUIPMENT FEE <br />AIF COND UNIb-M P U <br />RF�NIGERATIOYUNI75-NJ' FA <br />flOILIRS-���' FA <br />GAS FIN'D A( I�NIiS-TONNAGE U <br />lONClDAINS\S7IMS-IiTU MEA <br />N'�LLRfA7IR5-I1iU M <br />I1M1HfAiLRS-14TU M <br />tYAPORATIVE COOLERS <br />(.OiHf 5 OR1Y NS <br />V'INLILA710N FAN <br />NANGf HOOD <br />Alft MANDUNG UNIT- C F M <br />SiOVf <br />�4711 (BEPUCf b CHIMNfY I <br />nuz o¢ :onn <br />1V� VIRL SPRINRLfNS <br />XEVWk1U <br />'-1'IS u"�D <br />BY DATE <br />AppUUTIpN ACC. BY PLANS CMECNkD OY I �FPR fOR ISSUANCE NY <br />�.�U �,-� ��G <br />'r� iiI <br />9 1 79 <br />SUB70TAl i <br />PERAIIT f <br />TOT�If[E S <br />PUN CM[lR NUA101 F PUN CHtCI: FCC <br />S:I,� Ik[ G2 p[CkIPiNO. <br />L, , �G i <br />F[ES VALUATION FEE <br />t�uiininc i%��, `- i17� <br />P W b1I71NG <br />hlf CMANICAL <br />OTHlR <br />PtNALTY UPC <br />SEf 7011n� <br />TOTAI � � <br />I[RMIT VALIDATION <br />\VMfN PROP[FLY VALIOATf� I�N iH15 SPACE� THIS 15 YOUR PERMIT <br />,� jl %�v. �., .�". <br />t��. P�g� o� �+t�� <br />LF�:�� P�--E ���4 � , <br />.---- - -- <br />V <br />