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06/1?/2003 13:�4 42574:5900 PV USA FAGE 02/02 <br /> I ---- <br /> ' PERMIT �►�PLICATIpN � <br /> CITY OF EVERE� PERMIT SERVICES � <br /> � 3200 CEDAR S1RFE7. EVERETT,WA ogz�• I <br /> 425-237-8810—FAX 425-257-8857 <br /> SfTE ADD 9E ^y� E PAace�r,ex i.o.�e pERMlip <br /> � aa�a �Ib ,-� vQrc�- Oo'�I 3 Wb�fa 3o ��ao (3o p -� � <br /> LEG>L LOTNO. {LOCK iR11CT ^ �I�� � <br /> oesc. 3 0'� �e25 G0� �v�-e1f' 1✓i'vf5� or� � �;, <br /> ' �wuER A �� 1v'�7� 7� �8`�� <br /> rrv ��.nw n a3 �a5�a5� R�e. �_ ��,r,nwa�. w�a,go3l� <br /> TENANTN� E ONTAC7FOR RMR pMpN �—� <br /> �sL � ��'�y �u.nk�n (_ao�) q5��-�00 <br /> CDNiRACTOR ��..��n k�� Afi�ftE53 }!1 1 '"^ COMTR.IJCENSE► <br /> ow n e�-- �73��s a5 R,,� u -., <br /> r"�"�"ao�)4 s�l-�ao 3 1_.ynn Woo� wA �78o3Cv <br /> PROPO -D U6E OF YUILDIN6 pERMR � G�Om klertion � PIU�Tbinq�I yyppK AtltliUon XE1T SOURCG <br /> Uo <br /> '� PJtantlon II��"" EketliC � <br /> Q�oS . Trrc � Demolition Sipn TYp= �,yow p Qe� <br /> RepelCMarru. D py�m <br /> � CONTRACT PWCE OF WORK �', .�b� ^ CITY OF @VENE7T LOCAL S/tLE�TA7t COD��6 7106 <br /> I WOHK DE7lCRIPTION '�—`— � <br /> ��rno�� �xCo r"c,c.nn�e�^ o n sou�-h S�d-e_. �a <br /> i p � �nda..��'0�7 �i.r� I^�olc��, s����n5 a � » � <br /> INti E I AL <br /> NC• 7YPE OF fl%TURE OR I7EM NO. TYPE OF FI%TURE OR ITLM <br /> _ WATERCLOSET AIC_qrHANDLINpUNITS <br /> _ BATNTUB _ FORCED AIR gYSTEM6 <br /> LAV�TORY(WASH 6hSIN) ` MEq7 pU�Ap I <br /> _ SHOWER _ UNI7HFA7En:, <br /> _ KITCNEN SINK d DISPOSaL _ CLOtNES G�ZYER "/� <br /> — DISIiWASMcR � l� RANGE H00� !v <br /> � LAUNDRY TRAY / WATER HEaTER <br /> „ CLOTNES WASHER ` M[TAL FIfiEPLACE/STOVE � <br /> _ URINtiL FIREPLACEINSERT <br /> _ DRINKING FOUN7AIN , GAS fIREPLACE <br /> ,_ FLOOR DRAiN GAS RqNGE <br /> _ BACKF�OW PREVENtER � GAS PIPINO <br /> I _ SWK(SERVICElBAWMOP/ETC.) = EXH,4U8T FAN <br /> � OTHER OTNER <br /> I I <br /> II HERC6Y CERIiIFY 7HAT I hAVE READ AND ExAMINEO TMiS APPLICATION AIJD KNOW THE Sn�'t Tp eE 7RUE ANO CpRR[C7. ALL I <br /> PROVISONS CF LAWS AND CRIDINA.ES GOVERNING TNIS TYPE OF WORK WILL BE COMPLIE01l'!TF Pv�LTHER:P[CIFIED NEREIN OR <br /> NOT. n1E�PANTING OF A PERMIT DOES NO7 PRESUME TO GroE AUTHORiry TO V10LATE OR CnnCEL TnE vROVISiOv oe qNV OTHfiR I <br /> STA7E OR LOGAL LAW RCGULATiNO CONSTRUGTION OR THE GERFORMANCE OF CONSTRUCTION. THAT I M7 AUTHORIZEb 9Y THE <br /> Ol1'NER OF 7HI9 PRO 7Y TO PERFORU TNE WORK FOR WHICH APPLICATION IS AIADE AND I COMPLY WITH THE STATE <br /> C�I jRA:TOR5IAW'8 i RC�VfRRD^�68p0 WqQ. � <br /> ��urqroi uwnen ont� �IAu onz Agem �^�� a� i� <br /> I DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br />