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!he Evergreen A P P L I C A T I Q N F O R everett <br />°�ry°F �ONSTRUCTION <br />everett PE RM IT e <br />DEPT OF COMMUNITY DEVELJPAAENT $ERVICES <br />CITY HALL 259�8745 <br />EVERETT, WA YB"t01 �COMBINATION ❑ ESUILDING ❑MECHANICAL ❑PLUMBING PERMIT NQ. <br />ON'FEH hlnll nDDF65 [Ilv ZIP PHONF <br />`� i3L'H � r G c� i� l l� ��C', I3� u I 9 e�/ / v Yl3tTT �.�'>ol NC9 <br />nxoultci oa ni �'�.�fk nu�l nuuxlss urr zlv v��nNr <br />GfNERnLCONtPACiOR �AAllA0DRE55 �IIY ZIP pHON[ IICFNS[� <br />nRC�utiiUl[ONiBACION nUIlAODPSSS ❑lv 4P pHO�f IICENS[1 <br />19Uti�NiFL (pNlµnCtOR <br />CUSS UI N'pNK <br />❑NE\N ❑ADDITION <br />\'AWA1104 Of N'ONK <br />1 <br />IJUINItIf KOXA <br />M11�1� <br />❑IY ZIP PIIONF IICENSEI <br />❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGY ❑GARAGE ❑�UILDING RELOCATION <br />��v s� �- ���� <br />rxoroztu ��si oi �/�x <br />� 1\ S��J.�v„� c� <br />IELAI OFSCHiP110N Of VRO�fN1Y �SNON�N HItON OR �IiACH IOUN COI'1151 <br />1 Ol � IIIOCk �_ Of <br />IOII �DUPLSS <br />331�r— /� 7i <br />PLUMBING <br />NO. iYPE OF FI%TURE <br />�vnrEuci, sEriroiiEn <br />11A711T�'8 <br />UVATOI ! 1AvASH OA9NI <br />910WFf <br />KIiCH[i+51NK G f]ISP <br />DIS\vAShEN <br />UUNIJHY iNAY <br />CI Ol llE S VVASHER <br />N'A7kR HUTLN <br />UHINAL <br />UNINR WG FOUN'i�IN <br />f LOOk DNAIN <br />VACUUM IiHI AKf HS <br />NOOI OftAluS—ftAIIVLUOLNS <br />SWAIS(Nl9(f-11AH f�Cl <br />Slpt 1'AHD Sf lO�CY. <br />USE 7.0!�'! <br />lYP( OI CONST <br />SIZF Of BLDC <br />Flkl /Oti[ <br />SUBTOTAL <br />PERMIT <br />TOTAIFEF <br />SrN[f7 SCTI1nU: <br />LOi ANU <br />OCCUPANCI GNOUP <br />NO OF STORIES <br />APFiOYAlS <br />i fN1'IRON!.ffNULCHICKl15i <br />z nuLLu�Nr, rtnrvs <br />7 FIpE HYUHAN7 <br />i FlRE PROiCC710N SYSTEM <br />5 GRADIKCIf%UVATIONACIfANINCICNUHIIIM1G <br />6 �HAINACF <br />7 ENVIRONMENUL IMPACT STA7EMENT <br />0 HFALTIIUISTRICT <br />FEE <br />�S <br />H[AN YARO Sf iIUCK <br />\'AUNi $RE <br />i7YF.5 i�NO <br />NO OF DWELLWG UNIi$ <br />MA% OCC <br />kFQUINEU <br />!�YFS f'NO <br />81 OATE <br />APPLIUTION ACC BY PLANS CHECKED OV � APPR FOR ISSWNCF tlY <br />9-1-; 9 <br />I HEREBY CERTIFY THAT I HAVE READ �ND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO 6E TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS �ND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL OE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THF GHANTING OF A PERMIT DOES NOT PRESUME TO <br />GIV[ AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTH[R STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />51(:NqTURF OF CONTHACTOR OR AUTMOftIZED AGENT DATE <br />X �'Zr'�—�i-�'—� O� � i �/o � <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AB COND UNITS—H P kA <br />kFFHILFRAiION UNITS—H P EA <br />(lOIIERS—H P EA <br />G�5 f�HEU AC UNITS—TONNAGC EA <br />FOBCEDAINSTSILMS—UTU �1fA <br />N'ALLHfA7IRS—BiU M <br />UNIiMfA7LN5—{3TU. M <br />E\'AVONATIVk COOLERS <br />VENIILATION FAN <br />HnNGFMOOD <br />AIR HANDLING UNIT— C f M <br />sro�E � woe�� <br />ML7AL FlNPPUCE 8 CHIMNFY <br />PLAN OICCI: NU�'.1tl[N <br />FEES <br />FEE <br />SUB TOTAL 3 (J p�t� - <br />PEItMIT 5 <br />TOTAL FEE S <br />YUN CHECK fEE l <br />FEC BECEI?1 NO. <br />VALUATION FEE <br />OUIIDINf, S <br />PLUh1131NG <br />MECIIAMCTI <br />OTNFR <br />PENALTY U 0 C <br />SEC JO71a1 <br />TOTAI <br />PERMIT VALIDATION <br />WHkN PROPERIY VALIDATED (IN 7HI5 SPACE� THIS 151DUR PFR.MIT <br />r <br />�� <br />