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10/20/2008 12:50 2535316001 FAWCETT PLUMBING PAGE B3/�3 <br />� \ <br />SITE ADDRESS <br />1yo� Sx �V��,�.'c <br />tE�a LOT No. <br />DESC. <br />OWNEH <br />j�f�'AO��ST cort <br />TENANTNAME <br />�i-1'�A6'5.�.*c. <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257•8810 - FAX 425-257•8857 - www.everettwa.org /a - a a-O� <br />APPLICATIONS ARE ACC�PTED FROM 8 AM TO A PM <br />}'1P11 Wfl4 <br />CONTftAVIVtt <br />�t� u c�� a�-uMe zx�4 <br />coKm. uc�se n �`AW �-�Q'So <br />USE OF BUILbIN� <br />WORK DESCRIPTION <br />PARC6L TAX I�D, q <br />�51� oo`�.o <br />p susniwsioN p <br />\�oa s� Y.v� <br />ICONTACTFOR <br />�ra -�a <br />PERMITp , <br />IP PHONE <br />'�v��� k2�-3�'11,�•, <br />PHONE � <br />ADUFiE53 Vllvql' rnvn� 53��O��i <br />��a3 �� �o.�., euVOti�.b.4 �s �.53- <br />N0, I NPE OF FlX7URE OR ITEAI <br />Toilet <br />Balhtub <br />Levatory (wash basin) <br />Shower <br />Kltchen slnk & disposal <br />Dishwasher <br />Clothes was�ier <br />U!�ter heater <br />Sink (service/bar/mop/etc.) <br />Backtlow preventar <br />Urinel <br />Drinking Fountain <br />Flaor draln <br />Greasetrap <br />Roo( dralns <br />Olher_ <br />�..W 5 � <br />HEATSOURCE <br />^ Electric _ Gas _ Other <br />CONTRACT PRICE OF WORK <br />�5,35e.00 <br />NO. I TYPE OF FIXTURE OH �7EM <br />AIC — air handling units <br />Foroed alr syslems <br />Gas plpin0 <br />Water heater <br />Gas fireplece <br />Gas range <br />Clothes drye� <br />Range hood <br />Exhausltan <br />Hest pump <br />Unit heater <br />Boilpr <br />Fe1rl0eration <br />Woodslove <br />�J�her <br />CIT/ OF El�EHETT LOCAL SALES TA7f CODE IS 310.5 <br />�erei+y ceritify that I hsve read and ezamined lhis eppVcatlOn and know the same to be true t�nd corcecL All provisions of laws on <br />�Inaau governing this type af work will be complled with whether specMled herein or not. The granting of a permlt does not pres� <br />give authority lo violate or cancel the provlsfon ot any other state or local law reyulatinp construction or the padortnence of <br />RR��uc}ion. Th�t I am 9uthorized by Ihe owner ot thls property to pedefm lhe vrork lor which applieaHon Is made and 1 compiy with the <br />att��q ts�Zc1Ais Law t 8.27 R erW ?96.� W A� /�� ^D �� <br />/// //� !// �� i� ,..,, /F' � <br />