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11/�5/200N 15: 24 2535316001 FAWCETT PL�MBING PAGE �2/02 <br /> i � <br /> PERMIT APPLICATION <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CED R STREET EVERETT,WA 98201 I/ _S D� <br /> 425-257-8810—FAX 425-257-8857 www.everenwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO A PM �Q OI I � vV3 <br /> SITE ADDRESS � a` L{J���;�,,r� PARCEL TAX I.d.A PERMIT��l1 <br /> a oo ��c�o a o,-, � <br /> I.EGA LOTNO. BLOCK TRACTORSIIBDIVISIONp <br /> DESC. <br /> OWNER AUOF1E55 CITY2IP PHONE y�5�$�\ <br /> ���,� � a�3� ��'��a. 0...��vti�`o3 �ti„� y��o <br /> TENANT NAA7E CO��OH PERMIT PHONE arj 3 -aFj�J—��'3']„ <br /> �������{L E-MNL <br /> �w� as��, ���3 �,�� . e�,.�a ���� `�53�3\-6� <br /> CON1A.LICENSE N+r+�WC�',QS O`�3�"W <br /> 7' �� <br /> USEOFBUILDING I HEA7SOIIRCE �ONTRACTPHICEOFWOHK <br /> _Etpctric Gas_,Olhor �� `��� .�� <br /> WOpK DESCRIPTION <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXfUHE OFI ITEM <br /> Toilef A/C—air handling units <br /> r Bathtub ^ Forced nir systems <br /> �• lavatory(wash baslnJ _ Gas piping <br /> Showor Water heater <br /> � Kitchen sink 8�disposul _ Gas lirepince <br /> Dlshwasher Gasrnnge <br /> � Clothes washer � Clothes dryer <br /> Walorheater � Rarqohood <br /> � Sink(servlco/bar/mop/elc.) _ �oustlan <br /> Backllow preventer Hea1 pump <br /> � Urina1 _ Unit healer <br /> � Drinking Fountain Boller <br /> � Floordrain _ Rofrigcratlon <br /> '� Grease Irap _ Woodstove <br /> � Roo(dralns Othor <br /> Other — <br /> C1TY OF EV[RETT LOCAL SALES TAX COOE IS 3105 <br /> I hereby ceritlry ihat 1 have read and examined this applkntlon and kno.v Iho same to be Irue and wrrect. All provisions ot lows and <br /> ordlnaces govomfng thls lype of work will 6e complied wl�h whether specllied heroln or not.The granting of a permit does not presume <br /> to give authoriry to violuto or cancel lhe provfsion o1 nny olher stote or local law regulpUng conslmction or the pertormance o1 <br /> conslmction.That I ffm nutharized by thc ownor ol this propeny to peAorm thc vrork for which applleollun is made and I comply wilh Ihe <br /> $late Conlradors,pLaw 1027 RCW and 2�3G200 WAC. <br /> �ci..`r`J� `� � —�—�$ <br /> SignaWre ot OwneqCont todAuthorizetl AgeM Dnle <br />