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•.,9ia Erc. ". <br /> ( ,APPLICATION FUBt `Pe <br /> IDe EY#Igreen ' CONSTRUCTION ' <br />� `Itt°` PERMIT <br /> ev er ett <br /> DEPT OF COMMUNITY DEVELOPMENT SERVICES ❑PLUMBING PEILMIT NO. <br /> CITY HALL 259.8745 BUILDING ❑MECHANICAL ph;l�l <br /> EVFRCTT,WA 98201 -COMBINATION ❑ city nP <br /> MAIL ADDRI S f �� <br /> OWNI R <br /> n ION( <br /> 4 \ air zIr <br /> MAIL ADONIS% <br /> ARCH L OR ZU-N R PIIDNI 11C1NM I <br /> City <br /> 11 11111111 MAI(ADDTI6S <br /> ,INITIAL CONIRAC ION PHONI IICl NSf I <br /> flit Lir <br /> MAR AD@ISS <br /> AIICNANICAL CONTRACTOR mcnif (ICF N511 <br /> city Iir <br /> MAIL ADDRISS <br /> rl C,IRINC CONTRACTOR <br /> CIA„OI WORK ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE ❑BUILDINGRELOCATION <br /> ZNLW ❑ADDITION ❑ALTERATION <br /> S AH'AUDN oI wOak <br /> /� <br /> L (1 <br /> UI SL RIR(WORK <br /> I HEREBY CERTIFY TH T I HAVE READ AND AP <br /> NED <br /> rRPNSwD fM(5 A1iIDIMt. <br /> PLICATION AND KNOW THE SAME TO BE TRUE AND(CORRECIT ALL <br /> PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br /> REI <br /> ATTACH/DUN coni sl OF WORK WILL BE COMPLIED WITH WHETHER SPECNOT(FIED PRE PRESUME TO <br /> 11(}AI DIS(RIP ION DI PROP,R I,D11pWNTI ow(SR CE HE PROVISIONS OF <br /> OR NOT THE GRANTING OF A PER <br /> IDI �nl(xA�t)I GIVE AUTHORITY TO VIOLATE O G ATINGCONSTRUCTION <br /> ANY OTHER STATE OR LOCAL L ON <br /> OR THE PERFOR N OFC S ID ENT DATE <br /> SIGNAIURI <br /> F [t-nn�n 1 <br /> IOP+DDM lS V� I.I_ X <br /> �I Y, MECHA L FEE <br /> PLUMBING FEE NO. TYPE OF EQUIPMENT <br /> NO. TYPE OF FI17URE AIR COND UNITS-IlP FA <br /> W All R CLOSI T ITOLI[11 RIIRIGIRAIION UNITS-H P I A <br /> RAIHIUR BOIIt RS-HP TA <br /> I A%'AIORY IW ASN BASINI LAS Limit,A C UNI15—TONNAGI <br /> SHOWIR Op IORCfD AIR SYSItMS—BTU AI IA <br /> KIICHIN SINK 6 DISP Z 11D <br /> ,,,,It HtATIRS—BTU M - <br /> UNIT NI All RS—BM <br /> TU <br /> DISWASHIR <br /> IAUNDAN 1RAY Bp IVAPORAII%I COOLERS / <br /> CLOIIIIS WASHIR (11 111 S URYI RS <br /> W ATIR HI ATt0. VI N,II AVON FAN <br /> URINAL RANG( HOOD <br /> I DRINKING FOUNTAIN AIR HANDLING UNIT— C F M <br /> I MOOR DRAIN SIMI 5 ov <br /> VACUUM BRIAKIRS MITAl FIRIPLACI LCHIMNIY <br /> ROOT DRAINS—RAINIt AOI as <br /> SINK(SERVICE—OAR,tiC 1 <br /> w� %IIB TOTAL <br /> V / <br /> SUR IOTA( r owls S O <br /> PERMIT If TOTAL F!f <br /> f PLAN CIIi t n I1 I <br /> TOTAL III RT(I IPI <br /> SIRI11511pACN RIAR YARD SI III K 111 <br /> PIAI•CIIICK NUMB ' <br /> 5 YARD 5118ACK ,9/JZ� 111 <br /> �� Z�G"r Alp1+LSAMATION <br /> USI ZOONNNI 101 A(J;R.IE�A _"G VAyIS END <br /> q Sill illi <br /> NO OF QWHONL UNITS Q p <br /> IYPF 1 CONST, OCCUPANCY LR3l/UP BUILDING <br /> ) <br /> NO OF S�011115 MAR OCULI 20 00 <br /> SILL OT BLD(' PLUMBING <br /> SdY-4Z l0 n <br /> PAST MI NI NIDNUOAI% IRI QUIRIpRLI RS MICNANICAI <br /> (IRI 20N1 L/r- 3 CJYIS r;;r <br /> 3 7 BY DAT[ OTHIa <br /> A►►ROVAIf U B C <br /> PINAtlY SEC 30)(8)1 INVIRONMI N7AL CIIFCK LIST <br /> 7 RUILDINGPIAN% TOTAL ( 6�1 <br /> I IRI HYDRANT PERMIT VALIDATION <br /> A I IRI PROIICTION VISA M WHtN PROPIRLY VAIIDAIID TIN THIS SPACE)THIS IS YOU0.P[RMI <br /> S GNAOIN(;II IT AVAl10N A C 11 ARINGIGRUBBING <br /> 6 DRAINACI <br /> 7 tNVIRONMI NT AI IMPACT SIAlt MINT <br /> B HIALTH DISTRICT PLANS CHICK I0 BY APPR IOR ISSUANCE BY <br /> APPl ICA11ON ACC BY <br /> VI c <br /> y t 'R <br />