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the Evergreen <br />crtYofF WNSTRUCTIGN <br />everett PERMIT <br />CITY HALL 2590745 <br />LVLREIT. WA Ppul ❑ COMBINATION ❑ BUILDING MECHANICAL I_i PLUMBING <br />• .•NlH M41t Al1011l:•� i.li, .e Lw .u1 <br />OI IAIIAI CUNIRACTDR MAIL. ADDRI SS <br />L.nf Iln Pnvld UUNAr <br />-_�IJJi[l c Z <br />411 CIUNIU: CUNINACIOR MAIL ADDRESS I}IY lip PHCNL LICINSEf <br />I'IUMIIINGC�NTTRA(:IOR MAIL A:;DRLSS CIl• lip PIIGNE LIU NSEI <br />CLASSOL WORN <br />❑NEW []ADDITION ❑ALTEMTION L3nEPAIR ❑OEMOLRION UFENCE U$IGN ❑GARAGE <br />v tuA110N OI WORK �— <br />,z "7*0, <br />LI SCNIDE RK "— <br />PROPOSED USE Of BUILDING <br />_ /iiO <br />- <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO LIE TRUE AND CORRECT. <br />ALI. PROVISIONS OF LAWS AND ORDINANCES GOVEHNING LHIS <br />TYPE Of WORK WILL RE COMPLIED WITH WHETHER SPECIFIED <br />HLRLIN Oft NOT, THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRv <br />VISIONS OF ANY OTHLH SLATE OR LOCAL. LAW REGULATING <br />CONSTR C710N OR THE PERT CE OF CONSTRUCTION. <br />.4 n'I V un+AGl(rt AU I� rl ^AIL <br />OA <br />OW URAIIACrIfCny.:W9[51 <br />LOT "`°clr_—of <br />—.—•=���� <br />_ ____ <br />9/ <br />•L AUURl55 <br />_ — _ _n .wq• <br />PLUMBING <br />MECHAM15AL <br />NO. TYPE OF EQUIPMENT FEE <br />INC.TYPE <br />OF FIXTURE OR ITEM <br />FEE <br />I LR CLOSET IIOILE71 <br />AIR COND UNI I$ -� H P I A <br />HIUB __-_HII <br />lllCil RAIIUN IiNI1B -- 11 P (A <br />ATORY'WASLI BASIN) <br />11011IN$ -- H P LAWI.A <br />—h'ID <br />'.A:.I ITILOAC UNITS—TONNA(A IA <br />CHEN SINK A DI$P. <br />AlR SYSiIM$ — D T Ll IA FAHWASHER <br />— <br />---VIAL <br />1IIE AIERS—DTUNDRY <br />THA`: _—_ __ _ <br />UNIT WAll RS — R 7 U M <br />IIILS'.4ASREH <br />IVAfVNATIVL COOLERS <br />TER IIrA1LH <br />Cl 011ll $ URYL RSNA� <br />—_Vf <br />tJ 111 Al1UN FAN <br />NnING FOUNTAIN <br />HANUE HOOD <br />OR DRAIN <br />AIR RANOLING UNIT — C F!AUUM <br />RREAn LHS <br />fDJUMNS—RAINLLADL RS _ <br />All IAI. I IREPL ACI AC7HIMIIIK <br />ISL HVICC — DAN. ETC )SUB <br />TOTAL <br />SUB TOTALPERMIT <br />i <br />PERMIT 2 <br />TOTAL FEE I <br />_ <br />TOTAL FEE I <br />:JDL 1AHU SLIBACK <br />SIRLLT SLIIJACK <br />RLAR TARO SETBACK <br />I'u,N l'0 rJUMIIfA <br />PIAN CRI(A FLE. <br />ILL RECEIPT NU <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />T )YES LINO <br />FEES_ <br />VALUATION <br />FEE <br />1 YPL OF CON$T. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />PLUMBING` <br />-------- <br />MECHANICAL <br />OTHER <br />PENALTY <br />i <br />------------ <br />U U C <br />SEC. 7071HI <br />'•Ill OL ULUG <br />_ <br />NO OF STO,.ICS <br />MAX OCC LOAD <br />uII ZONL UASLMENT - <br />f APPROVALS <br />FIRE SPHINKLUIS <br />REOUIRED <br />AYES HNO <br />BY DATE <br />I LNVINONMENIAL CHLCK LIST <br />BUILDING PLANS <br />:1 1 IRE HYDRANT <br />TOTAL <br />A FIRE PROIECTION SYSTLM <br />PERMIT VALIDATION <br />WHEN PNON LILY VALIUATFU (IN Tlll$ SI'ACCI ills$ IS YOUR PLIVAIT <br />5 GRADING <br />-- <br />— <br />L DRAINAGE <br />I ENVIRONMENTAL IMPACT STATEMENT <br />u HEALTH U15THICT <br />ArrLICAl10N ACC BY <br />PLANS CHECKED BY <br />APPEL FOR ISSUANCE BY <br />