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the Evergreen A <br />CITY BALL 757 87A5 <br />LVLREI7.WA 982ol ❑ COMBINATION ❑ BUILDING I-] MECHANICAL I PLUMBING <br />� A'.1 l'nll Ail ll,t:.:• �p <br />%�/-+��//tA+{////1 <br />'ll.l al U1lM�Nln MAT( ,1g11 .,'- ; ,. r•rt.Nl. <br />MAIt Anl•Irt/13/7///�--JnQ--/-/�- -11 tK <br />/j <br />/IIANIu1 wNiN.c lOH M„(.0�10(JIY-_1. _.1�G(A56(_� ,11 cil - <br />—— E/// - !s�3=4oL=�i/3LoL <br />IIUM1114G I:UNWALIlN1 '- \Iql A. 11111 1• .I' <br />'.1Ajy OI YlDIW -•. - <br />❑NEW ❑ADDITION 0ALILF1A11011 011'eAD ._ 1 y.11[II,N I.IFENCL USIGN C_IGARA.GE <br />I',.'-IUOI MOTIF / <br />FPLI(CA <br />� � v <br />- THAT I HAVC R[AD AND F.YAMINED THIS AloI,,$•,t AL '. l KNOW 7HE 5AMF TO BE TRUE .AND GOIiHLC <br />BITc 13 /� OF LAW!, AND ORDINANCES GOVERNING TLf <br />BE <br />I(11 I" � nlxt��ol T}I° ,. � ., WII L COMPLIED WITH WHETHER SPECIFY <br />1.aT34itdS IJI I,.i "I ;I1T THE GRAIJTING OF A PERMIT DOES NC <br />�T�hO BlK 131 Lod 6n/i _ PHk.:1d'VFAUTHORTYTOVIOLATE ORCANCELT14EPI <br />"'JI OTIIIIT "TAIL OR LOCAL LAW REGULATIN <br />to THE PERF RIMANCE OF CONSTRUCTION. <br />.III I,IDA Itll "AIV <br />Io') <br />PLUMBING MAECHANICAL <br />140. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT --- FEE <br />wAifR CIOSET OREI __ Aul n^d) urdlL. _Hn IA__ -__-- <br />RAIHIUD —_ III I TIP it u.1111'!J l:GI1S II P I A <br />LAVAIJRY (WASII IlASINI -- 141q I I1l:` H P I A_- -_- <br />SIrO1YFN — 1.A:.I I;l It AC Iu(11 ; - T(INNA(11 [A <br />KIICHLN SINK 6 UG;P. +LIK 1 I' Alll `Y_ll '.P.i - R 1 II 1.11 A <br />--- DISIIW'ASNUI __ tV_M 1 1.1 At 111'4 - II T It <br />IAIINDNY TRAY —_— -- UNIT 111 A1144 - fl t V 1A <br />WATII111EAIER ll"lltt Itl"I II'L_ <br />URINAL —_ --- \'ILIIl A1l,IN1AN <br />ORtNKING I QUNTAIN IIMAd"001l___ <br />FLQUIT DRAIN Alll IIANIR IN(. LINII _ <br />VACUUMDREAWiS <br />nQQF DIIAINS - IIAINL[. ADI R5 --- All 1 Al 1 IIILM ACI A ('14MI-A T <br />!,INK 1%HVICL - DA11. CIC 1 -- ---- ---------- - -- <br />-_ SUB TOTAL - — -- _ _ _SL'R TOTAL S _` <br />-- PERMIT _t -- -- _.. __. _ PERMIT _ --- S <br />TOTAL FEE f - TOTAL FL F <br />qll IAhII SLIT!\i, r, S11111 15LIINt'K ill All IAIID SLIRxcK 1(7114(lilt, NO 0.U41 II (IM.(.HI I.Y/ll <br />I It. HCt.t lPi Nu <br />UeL 1LNL LOT ARIA VACANT SITE 11L5 11NO _'--'--'-EELS VALUATIONFEE <br />ITI'L UI COD51 OCCUPANCY GIK)UP NO. Of UWLL LING UNITS <br />_ I1111LDIN(: ---- S <br />,1/L OF DL UG NO Of SIIINILS MAX a LOAD--_--- <br />1'lU\Ilut:', <br />1 WL TUNE UMAKNI fIM— <br />IIEOUIRLU MLU VdutIAl. <br />IIYIS I;N(1- <br />APPROVALS BY DATE WHIR <br />L NVIIILNMLNIAL CHLCK L151 PI NAI' )- U D C <br />sit 701 (a) <br />BUILDING PLANS - <br />TOTAL <br />1 I IRE HYDRANT <br />A 11IiC TKtO1LCTION SYSILM — PERMIT VALIDATION <br />w1rt I. NO , f 1U Y VAl IDAi( 11 (14 itR; SI'A61 I l l,4 15 YOUR PERMIT <br />GRADING <br />I, URAINACE _ <br />I LNVIRONMENIAL IMPACT STATEMENT <br />L HLL:14 OISINICT _ _ <br />AI'I•LICATION ACC BY PLANS C111CKLD UY AF1Y1 IUR I:SLJA1l.'L ❑P <br />