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the Evergreen C U <br />N ST R U C T I O N <br />Gltt OF <br />PERMIT <br />everett <br />UEPT OF COMMUNITY DEVELOPMENT SERVICES <br />❑PLUMBIkG <br />ERMIT NO- <br />PONE <br />CITY HALL 259 8745 <br />EVERETT.WA98201 COMBINATION ❑BUILDING ]MECHANICAL <br />zip <br />PMONL <br />Mnn AODP{s5 <br />uTT <br />1�� I <br />16IP <br />�59 <br />ON'Nl0. , �U P.EZF%T1 ctly 1}p L.L_ Fv��TY <br />GI'SY =,P <br />[Itt <br />PHONE <br />Sss-7 <br />MAIL ADDatss EUEb�Ir--(� �� <br />ARCH ICI [ACT OR Ol51LN10. �fw,� 3FAT'IFL`+� •p L,y_ <br />A�.X/`-'• V Vv <br />21P <br />zs9 <br />PHON[ ll <br /><C1t/ I'C/JE-f! <br />CITY <br />MAIL ADDRESS <br />GENERAL CONTRACTOR <br />PHONE L <br />MAIL AOD0.65 <br />LIP <br />CITY <br />M{CHANICAL CONTRACTOR <br />PHONE 1 <br />fill 21P <br />I <br />Of WORK <br />❑ALTERATION ❑REPAIR ❑OEMOIITION ❑FENCE ❑SIGN ❑GARAGE []BUILDING RELOCATION <br />4IEW ❑ADDITION J <br />AIJAIION Oi N00.K 3 / �iL d__ _ <br />f y <br />nS� 9'Y%o Ex)O pcc..L•T�• ShCi: tCTh - Atz.G—f�t.�C•,tlTs — <br />I HEREBY BY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />�0.0POS{D USE Of tlUrtU1NG 1,'CATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />OCAL <br />r(C,U �G-(L. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />LEGAL OF SCRIPHOA Of PROPF Ri> ISHO++N Pf ION'OR AT FOUR COPIES) OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />LOT BLOCK OF GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />OTHER STATE <br />PERFORMANCE OF CONSTRUCTIONR LOCAL LAW <br />CONSTRUCTION <br />>IGNAIURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />LOB AOURESS <br />NO. <br />SINK A <br />ER <br />r TRAY <br />,I FEE <br />SOFT, <br />[n <br />V�PE- yOf CoN>I ---- A- f <br />ORIts <br />IZ OF B DC NO OF ST <br />BASEMENT BEDROOM <br />IRE ZONE <br />APPROVALS <br />1 ENVIRONMENTAL CHECK LIST <br />2 BUILDING PLANS -- <br />T FIRE HYDRANT <br />4 FIRE PROTECTION SYSTEM <br />5 GRADINGIEXCAVAT ION& CLEARINGIGRUBBINC <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />& HEALTH DISTRICT <br />APPLICATION ACC BY PLANS CHECKED BY <br />��11IiI <br />94 79 <br />FEE NO. TYPE OF EQUIPMaI.I <br />A-R COND UNITS -H P U <br />RIFRICERATIONUNITS-HP EA <br />BOILER5-HP EA <br />CAS FIRED AC UNITS -TONNAGE EA <br />1 ORCFD AIR SYSTEMS-8 T U <br />M IA <br />STALL HEATER5-BTU M <br />UNIT HUT ERS-BTS <br />f <br />f <br />RI AR 1 ART) SI)i <br />VACANT 51T[ <br />OYES ONO <br />NO Of DWEL" <br />MAX OCC LOA <br />IV I DATE <br />TOR ISSUANCE BT <br />RANGE <br />AIR HA <br />STOVE <br />PLAN CHECK NUMBER <br />- CF <br />Pf <br />!0'L, <br />lit. _. <br />SIB <br />_HICK iL! <br />RECEIPT NO <br />rt[ <br />is- <br />f t <br />BUILDINGPLUMBING <br />MECHANICAL <br />OTHER <br />LBPENALTY <br />TOTAL <br />PERMIT VALIDATION <br />WHtN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMI <br />pc, loz <br />po <br />fp8, I pS <br />P CIL <br />ey, ei <br />