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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT R BUILDING DIVISION <br />3200 CEDAR STREET A EVERETT, WA 98201 R (425) 257.8810 <br />L1 DEMOLITION ❑ COMBINATION <br />PROJECT ADDRESS: y(.22L_ZUCVFR <br />CHRIS CONTORARDI5 19J2Rd--" <br />oNvrn vN AIXMI ss <br />❑ BUILDING ®{M,EEC•HANICAL ❑ PLUMBING O SIGN <br />"I.N,IaRARDIj <br />11 YANG NIW!55 r.111 !M nVh <br />InLMirC10r M51!'dn 11 4N IINNM 55 [Ilv <br />r4NrnnLCmIeALipl 4AN m"S5 OI• iR IYXN[ SIAKITfAV. <br />R1TI•boDDNc t-Inn IWRAYcs git�E 9B1DB (,kl�7aL-rA4Y� RTnmelo4cylt <br />WCNAWA[CIWDIACIIM AAA A.55 On tX• I,Iwr salt [K[NNr <br />nn4RnNi cONnullpl 4•n ApM[ss Cnr Dn rNtfY( SIur11LLNSr. <br />cyNlnul nNr.(w wlMa <br />I <br />�— <br />HEATING SYSTEM: ❑OAS ❑ELECTRIC ❑ <br />DrS mnr WJnN AMI SMlbt IOflibf nVf11K0 <br />f.Pl1_1•pL�I lnNS(,M1AYn,'rr.N.CM Np'_`—_- � y� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WII L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. 714E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OT14ER 57ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS IAW 1827 RCWAND 2M 200WAC <br />X �N — � 3-- <br />wr+oclulrcr p RIn,aNn <br />1fUAt MScmmgNp INKXYnry I4KMM PIIONCn An Acu IwD LDnts <br />In, L�_)(�_ md;K __ a _ <br />ill Uf I <br />1 nT IAi_r14. IS <br />DoUMRMrn 1 ---- <br />CIINSImFINM10•NIrMKn. AIWLSS I[IfnIpI —Wlll — <br />$NpNA X OXR <br />I'll RIIGM[SII:IN<I M <br />— <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AC—AMNDLG UNITS <br />BA7HTU0 <br />FORCED AIR SYSTEMS <br />_ <br />LAVATORY (WASH BASIN) <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A DISP <br />CLOTHES DRYERS _ <br />DISHWASHER <br />RANGE HOOD <br />LAUNDRY TRAY <br />WRIER HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />UMNAL <br />MEIAL FIREPLACE (WOOD BURNING) <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT (WOOD BURNING) <br />FLOOR DRAIN <br />GAS FIREPLACE <br />13ACKFLOW PREVENTERS <br />GAS RANGE <br />T <br />SINK (SERVICE — BAR. ETC.) <br />GAS PIPING <br />EXHAUSTEXI4AUST FAN�_i{_ <br />$US TOTAL f <br />SUBTOTAL S <br />PERMIT f <br />PERMIT <br />TOTAL FEE $ <br />TOTALFEE f <br />FOR OFFICE USE ONLY: <br />IpMi VT➢A4 <br />IVAnRIRACK <br />TIp YIl1Q <br />I <br />111 <br />NrCIX'I Np <br />Na 1plT <br />101 AMA <br />vbbl w[ <br />�MANNCISC/DID <br />"O FEES <br />VALUATION <br />FEES_ <br />RIRI aNf <br />_ <br />DYES ❑M) <br />WKRO UAYIAIgY <br />NU P aMtt. 6 <br />5RE IN stmi. <br />MI4 <br />n1AMI4f{ <br />p:f AY :Y NIn.nAl'H <br />a.CIX'AMI IVAD <br />RAit KNI <br />Orts DAl <br />Mr(P4NCA1 <br />IX4E 5111XIxIfU MUU <br />AtIa1KIN4 n AN CIKCA <br />MA" <br />I1NKR <br />i <br />IXKMAIMMUD <br />MXSNY <br />, <br />[IAII 1IMIXMt5l WNAMt <br />nml r. vrtMnS <br />nM M'Y""— <br />nnYSmmovrD <br />CITY OF EVERETT <br />DMT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />— <br />IOTA) <br />--— <br />