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10/02/2009 15:00 2535316001 FAWCETT PLUMBING INC PAGE 02/04 <br /> l <br /> PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 88201 <br /> 425-257-8810—FAX 425-257-8857—www.everettwa.org <br /> APPLICATION�S ARE ACCEPTED FROM 8 AM TO 4 PIA �Q— b�—fj q <br /> _, r: :,�,. ,, <br /> 31TE ADDRE4S PARCEL TA7f I.D./ p RhdT• <br /> 3s i 3 S „-, i�-�-�- A��r' io - oo� . <br /> L[GA LOTNO, OLOCK TRACTOR9U901VISIONR • <br /> D[SC, <br /> O14NER AD�RESS CITY2IP PNONE <br /> C i�Y �E �.J�Q� 1�'. Z`��� �N�TMo2� Q*Y ��t2S'j r' <br /> TENANTNAME I � CONTACTFORPENNtT PNONE <br /> e�a� , <br /> e�E. �w. iw5 0��CA+�Y�,�,Co.+d ���w,o 9'Y17( <br /> ��.���.FRW C�.P 1 t� 23L�.✓ z�.����-�� <br /> USE OF BUILPINU HEAT SOURCE CONTRACT PRI�E qF WORK <br /> p tJ <br /> Pl3c.le ►�A-`i'�r2A1.� _e�e�.tric _Gas_ouier ' 3� �� <br /> WORK DGSCRIP'T10H <br /> �Ca�n1�'r_c 1� ��Wr2 �J+' I�tli4�,1�2 �/�v� <br /> n � <br /> �ia ��'s�2s� � � � ►►v L��Iigiw• 1"(7,Qm�Y B %0 7 <br /> PLUMBINC3 MECHANICAL <br /> N0. TYPE OF FlXTUflE OH ITEN N0. T'PE OF Fl7(NRE OR ITEM <br /> __ Toilet ` NC—alrAandlingunits <br /> [3athtub Facal alr systoms <br /> � L�vatory(wnsh basin) _ Gas pipirp <br /> ^ Showor Welerheater <br /> � Kitchen slnk E disposel _ Gao firepleca <br /> Di6hw3She! _ CipyfA�p9 .' � <br /> � Clothes washar , , �,,,,,. Clotl�es dryer <br /> _ Waterhoatur _ Renqahood <br /> Sink(sorvicnbar/mop/etc.) _ E�aust fan <br /> � Backflow prevontor _ fiCal pump <br /> Urinal _ lJnk Aeater <br /> Prinitir�p Fountain � Boilcr <br /> _ Floor Jrain ' _ ReMpereUon <br /> Gruaso irap _ y�/pp�tpyq <br /> Noof dralns _ q�p� <br /> OIhCr <br /> CITY OK EVEpETT LOCAL SALES TAX CO�E{B 9106 <br /> I hercby urility that I have roed and examined thiy applkalbn aw1 krqw Ihe same to be true and Contct. All provislons ol laws antl <br /> ordinaces goveminp this typa ot work wifl be compped wilh wholher speGlled he�uin or twt.The qrnntirp ot a permlt does not presume <br /> to give ttuthoriry to vlolate or carcel ihe provaion of any other state or local law rcgulatinp construction or the pertortnance of <br /> eonstructlon.lnut I am authorized Dy Ihe omror of thk proporty ro psAorm fho work tor which appllcetlon is mede anei I cromply wilh the <br /> Siste ConUaciors . CW ond <br /> �--Z.—O�I <br /> Sipnatuiro o nVacta/Authoriz Agen UatC <br />