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fheEvergreen ApPLICATION FOR everetl <br /> °�TM°F .:ONSTRUCTION � <br /> everett PERMIT <br /> DEPT. OF COMMUNIiY DE\'ELOPMENT SERVICE$ <br /> CITY HALL 259�8745 <br /> -, evEaEii,wqve2ot �COMBINATION � BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br /> owr�ta nuu�ouu�s: �r�/y_73a,d arr zir v��orv� <br /> � h-vr �; �5 ��^���5' � �e u..�. v�Y � 9���c� 3 5��9� 71 <br /> �RCIII!lROR'J{SICM1'FR nl ApDNl55 CIIY ZII' PIIONF <br /> GIN[q�l COviRA[�ON NAII AOUR6S ❑tY 2iP PNON( h'.ENS_M <br /> /�// <br /> �Q.d�� <br /> V1IOIAnIU1 CO. NAC100. n1All AO�RESS CRY 11P PIIONC IICENSE� <br /> f <br /> PIYMpInU COVtN�CiOR n�All nDDHL55 Cil� ZIP PIIOME IICENSE/ <br /> CIASS O{N'ONF <br /> C�NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLIiION �FENCE ❑SIGN ❑GARAGE ❑�UIl01NG RELOCATION <br /> V'e;V A f IO�Of'.s00.N <br /> ,�� ��l � — <br /> UISCNitlI NON� � <br /> /� / II <br /> O�/ / — LC.�t rC "� �1 � <br /> rxoroau ust ur n��noi�r. I HERE�Y' CER IFY THAT i HqVE READ AND EXAMINED THI$ AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> i[cni mscxirnor or rnorturv iv�ow�,nnow az�nno�rouv corns� PROVISIONS OF LAWS AND GRD�NANCES GOVERNING THI$TYPE <br /> f OF�WORK WILL BE COMPLIED N'ITH WHETHER SPECIFIED HEREIN <br /> 1Oi�R'��"—01 � � � OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> t �! GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> / ANY OTHER SThTL OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SICtiAIUHE OF CONiNACTOR OR AUTHORIZED AGENT DATC <br /> 101�AI)UH!55 /��-�{ r <br /> !� � � a^c-� d e X � 1 M � /�(�l�.Q�% • 4'I�l I�-� <br /> PIUMeING ME NICAL <br /> NO. TYPE OF fl%TURE FEE NO. TYPE OF EQUIPMENT FEE <br /> \VAIEN CLOSLT�70LIE71 AIN COup UtiITS–N P EA <br /> MTHTU6 kEFHIGERATION UNITS–N P EA <br /> Ul'AiOBY IWASM ItA51N) 11011ER5–H P U <br /> $MOWEH WS FIREO AC UNIT$–IONNAGE EA <br /> KllUlf Y$INK A D15�' fORCED AIN $YAEM$—Il T U M EA <br /> DISWASHfH 1YALlMlA7FR5-1{TU �d <br /> IAUNDHY INAY UNII MU7EN5—fl T U N <br /> CLOiMES LtiAillf R f\'nPUNATIVE COOLERS <br /> '.YA7fN HU7[N CLO7Hf5I7RYFN5 <br /> UNINAL V W iILA�ION{AN <br /> DRINKItiG FOUNiAIN NANGF HOOD <br /> fLOOR DNAIN AIN MANDLINL UNIT— C F M <br /> VACUUM flRUK[FS SIOYF <br /> ROOF URAINS—NAINLlADERS MEUI FlREPLACI E CHIMNEY <br /> SINK(SFNV'ICL—HAR E7C� <br /> t <br /> SU!TOTAL SUBTOTAL S <br /> PERMIT f PFRMtT S <br /> TOTAL iEF 3 TOT�1L(EE f <br /> $IDF YARD SI111ACK STRLR SR11,1CK HUH YAND St iBACK PIAN C11ICK hUMBC6 PL�N CHF�Y.'cE <br /> FEf NKEIPI NO. <br /> US[ ZONE LOT AREA VAGNi Sllk <br /> ❑Yf5 CNO iEFS VAiUATION FEE <br /> TYPE Of CJMST OCCUVANCY CROUP NO Of OWfLUNG UNI15 <br /> fIUIlD14G 3 'ZCp.�� lQ M. 1 <br /> SIZF OF NIOC NO OF STORIf 5 MnX OCC IOnU � ���� <br /> PW�1111NG <br /> I� FIR[ ZONE BASEMENi OfUHOUMS FINI SPHINKlLHS <br /> HkQUIR[O MECMAMUL <br /> f7YF5 C7N0 <br /> Af��QVAlS BY D�TE O1MFR <br /> 1 FNVIRONMENTAL CHECK L15T U.tlC <br /> PfNALTY SFC 70Na� <br /> 3. BNIDING PUNS IM <br /> 7 FIRF MYDRANT T�T�� �,l.l OU <br /> I � FIRE PNOTfCTIUN SYSTEM PERMIT VALIDATION I <br /> WHW PROPERIY VALIDATED pN TMIS SPACE)TMIS IS VOUR YERMIT <br /> 5 GRADINGIXUVA710N6QUXINC/GRUBNING <br /> 6 DRAINAGE <br /> 7. ENVIBONMENTALIMPAQ$TATEM.N7 <br /> B. HFALTH OISTRICT <br /> APPI.IUTION ACC.BY PLANS CMECKED BY APPH.FOR I$$UANCE AY <br /> G � L , L � <br /> 41J9 <br />