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the Evergreen A l .' L I C A T I O N FOR PYPFP„ <br /> CITY OF CONSTRUCTION n <br /> everett PERMIT 'vJ <br /> DEPT OF LUMMUNITY DEVELOPMENT SERVICES <br /> CITY HALL 2S9474S <br /> EVERETT,WA9R201 ❑COMBINATION ❑ BUILDING ❑MECHANICAL LIPIUMBING PERMIT NO. <br /> ADORNS CITY :�I 1'nuvl <br /> YJCYI �L`-�VA.uiytLL 21 1(6l-'' S7 SL,_t .IctN h?o3 z ss ib37 <br /> ARCHITECT ON OISIGN R MAIL ADONIS% /CITY IIP PHONT <br /> CeAlANC\%1 UCH. �C�d L-S --c4� <br /> GINIRAICONIRACION MAIL ADDRESSIIY IIP PHONE LICENSE <br /> MICNANICAI CON111ACIOK MAIL ADDRESS fill IIP PHONE VCENHIF <br /> N OMRINII CONTRACTOR MAIL ADDRESS CITY ZIP PHOM LICENSEE <br /> 1-1 k%%OF WORK <br /> [ NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDING RELOCATION <br /> %MtAl OI WOR& di <br /> s d Q0� <br /> Ill%I RIR(Wt1RK <br /> PRMAA <br /> nr% DI RunnlNC,, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> Ilf.p DIM'RIP40Y01 PROPIRDISHOwN IELOw j AnecHP u �glycl% PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> G OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br /> HIT �RIDfA—ul OR NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> i t GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> - ,2 �iJt/A✓�t� ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br /> OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIG A U O CO TRACTOR OR AUTHO IIID AGENT DATE <br /> IOP ADnRI W r '� <br /> PLUMBING ME HANICAI <br /> NO. TYPE OF TEXTURE FEE NO. IVK OF EQUIPMENT FEE <br /> WATER CLOSE/11011111 AIR COND UNITS-HP IA <br /> RAIHTUR RIIRIGIRAIIONUNIIS-HP to _ <br /> I AVATORV I W ASFI BASIN) BOH I RS-IIP [A <br /> SHOWER LASIIRIOAC UNITS-I().lAI,I IA <br /> KITCHEN SINE:A DISP IOR(IO AIR SVSIEMS-BIL AI I A <br /> D11WASHIR WALIHIAIIRS-BTU M <br /> LAUNDRY TRAY UNIT IIEATIRS-PTU M <br /> CLOIHIS WASHIR I%ANIRATIVF COOLERS <br /> WATER HEATER CIOLIIIS CHOIRS _ <br /> URINAL VINIRATION IAN <br /> DRINKING FOUNTAIN RANGE FOOD <br /> FLOOR DRAII. AIR HANDLING UNIT- C F NA <br /> VACUUM BRI AKE RS STOVE <br /> 11001 DRAINS-RAINLIADFRS All TAI FIREPLACE &CHIMNEY <br /> SINK(SERVICE-RAR.I TC) <br /> i <br /> SUN IOTA( SUB TOTAL f <br /> PERMIT f PPRMIT f <br /> IOTA[fit f TOTAL FEE s <br /> SIDE YARD St TRACK SIRE 11 511 BACK RI AR I ANTI 11 111A(K PLAN CHICK NUMBER PLAN CHECK if <br /> fit RECEIPT NO <br /> USE ZONE LOT ARIA VA(ANI SII( <br /> CIVET (:NO IUs VALUATION fit <br /> TYPE Of CONST OCCUPANCY GROUP NQ Of OWIIIING UNITS <br /> RUIIDING s — <br /> SIZE OF BLDG NO OF STORIES MAX OCC LOAD <br /> V1 UMBING <br /> FIRE ZONE BASEMENT RIDR(X)MS FIRE SPRINKLERS <br /> REQUIRED MI CHANICAL <br /> [IVIS FI.NO <br /> A"ROVALS BY DATE OTHER <br /> I INVIRONMINIALCHICK IIS( UBC <br /> Pf NAVY SEC 711X1) <br /> 7 BUILDING PLANS <br /> ) FIRE HYDRANT TOTAL <br /> 1 FIRIPROIICIIONSYSTIM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATFDIIN THIS SPACU THIS IS YOUR PERMIT <br /> % GR ADINGII KCAVA IION A(I I ARINGIGRURRING <br /> h DRAINAGE <br /> 7 ENVIRONMENTAL IMPACT STATEMENT <br /> B HIALIH OISTRICT <br /> APPLICATION ACC BY I PLANS CHICK[U In APPR II IR IAAI'AN(I BV <br /> vC w <br /> 9179 <br />