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MAR-24-2003 11:EE RM H2OLMHERG 4!2578TB662 P.01 <br />\ `. <br />i Pu9� �- �` PERMIT APPLICATION <br />3/:�l�3 CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR 8TREET, EVEIlETT, WA 6e201 <br />F/9A'� ; �-�iltn,b�+� 425-2b7-8910 - FAX 426-2b7-8067 <br />� <br />el�2,m .�'ell+�.�sti�� <br />�}2o�vn8ERh, �Sv+-• <br />"10N° Lu t� 1-►vr� -G a �� <br />�IMPW ED U!B 01 SUIlDM10 <br />CON�AACT MtlCI O� MIdIM <br />wowcouc�.rw� qAol <br />NO. I TYIE Of fUfTUM! OR R!M <br />,a �,,,,�,,,,� I-b� �. � <br />� 7`f Ib' 17bf` St <br />iJ.vr�Ad.1, cuH <br />rE1dM ❑ ComMnatlen [�Plun <br />me D D�TOMU011 D �� <br />�� SplNl�lNl <br />ds <br />r�+'n ' <br />BATFITUB <br />LAVATORV (WA9H BASIN) <br />8Fi0YVER <br />KITCMEN 31NN 8 DI9P08AL <br />Dt4HWASNER <br />UUNDRV TRAV <br />CLOTMES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRIJN <br />BACKFLOW PREVENTER <br />SINK (9ERVICEIBARMIOPIETC.) <br />OTHER <br />� <br />nroN! <br />1 Crzs%?�7-�i377 <br />I 2R GONf11.UClp�E� <br />'1'��' f 1�p �mx+� 94tr_ <br />j�/� Nbn HEAT6WACE <br />[JJ iWM atbn D FkcYK <br />g� �.�w. <br />RapwrlAAYti. V 011rr <br />o � CIT' OF evGETT LOCAL Mlli TAIf COD6 Y i/0[ <br />NO. I TYPE OF FI%TVIIE OR R�M <br />NC - AMMIDIiNO UNITS <br />FORCED AiR 9ren�MS <br />MEATPUMP <br />UNiT MEATERS <br />CLO7HES DRYER <br />RAMOEMOOD <br />WATER HEATER <br />METAL pIREPLACE/9TOVE <br />FIREPLACE IN9lRT <br />OA9 FIREPLACE <br />GAS RAN(3E <br />OAS PIPwG <br />EXMAUSiFAN <br />OTHER <br />I MERESV ClRITI/V THAT 1 HAVE 11lAD AND E)UNINEp TMIS AOPUCJITION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVI610N5 OF UN5AN0 ORIDINACES OOVEIi1MN0 TIIS NPE OF WORK WIL� eE COMPUED N7TT1 VMETHER 8PECIFIED NEHEIN OR <br />NOl'. TNE cRANTMf OF A VfiRMIT DOES NOT PRE9UME TO ONE AViMORiTV TO ViOUTE OR GW CE� iHE PRONSION OF �NY OTHER <br />STATE OR �OCA6 LAW REGULATINfi CONSTRUCTION OR TME PERFORMANCE OF CONSTRUCTION. TNAT � AM AU7MOR17E� BY THE <br />OWNER OF THIS PROPERT O vENFOItM TME WORK Fq( WF{1CN MPLICATION IS MADE ANO i COMDI,Y WITH THE STATF <br />CONTRAf.TORS UW 1.27 CW MID Y9B.t00 WAG <br />!��J� �w,b�t�l/ .3 /z��oj — <br />i CR6DR CARDS ARE NOT ACCEPTED <br />