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#1.* PERMIT APPLICATION <br /> BUILDING/MECHANICAL I PLUMBING/SIGN I SPRINKLER!DEMOUTION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 i FAX 425-257-8857 1(E)everettepsaeverettwa.gov I tvvvw.evereftwa.gov/permits <br /> Plus or Black ink Only Please)• . , ,PROJECT SITE INFORMATION . , • ' , <br /> PROJECT SITE ADDRESS:408 ROSE WAY PROPERTY TAX#: 00541900002002 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER NAME: MARK WIGGINS TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET 408 ROSE WAY <br /> cny EVERETT srxre WA zip 98203 <br /> OWNER PHONE: 2069546510 OWNER EMAIL:INSTALL@GSHEATING.COM <br /> CONTRACTOR NAME:G$HEATING <br /> CONTRACTOR ADDRESS: smaer3409 EVERETT AVE <br /> are <br /> EVERETT <br /> STATE WA zlp 98201 <br /> — <br /> CONTRACTOR PHONE:425-262-4402 CONTRACTOR EMAIL:INSTALL@GSHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821OR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 <br /> PRIMARY CONTACT: DOWNER CI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-262-4402 <br /> ALISHA CLOGSTON CONTACT EMAIL:ALISHA©GSHEATING.COM <br /> 1 <br /> • BUILDING INFORMATION .. <br /> Existing Use of Building:RESIDENTAIL Contract Price of Work:$4602,40 — <br /> Proposed Use of Building:RESIDENTAIL Heat Source: DGas DElectric DOther <br /> BUILDING USE: EISFR OTownhouse C3Du lex DADU 0Multi-Family-#Units: DCommercial ElAccessory Structure <br /> Type of Project: ONew DAddition IZIRemodel DRepair DT.I. OSign OSprinkler DDemolition OChange of Use <br /> DESCRIPTION OF WORK: AIR HANDLER INSTALLATION <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> •MECRANICALPERMIT APPLICATION......... . PLUMBING PERMIT APPLICATION <br /> Fhaure Fixture <br /> List of Fixtures Rxwre List of Fixtures Fixture List of Fixtures List of Fixtures <br /> Count COUfft ' COUnt COUnt , <br /> IA/C.-Air Handling Units ,Gas Piping Backfrow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp prep,floor) <br /> Clothes Dryer , Heat Pump&Ductless Dishwasher Sink-Residential(kitcnen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilator Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) <br /> J <br /> 7- Gas Fireplace/Insert/Log Wood <br /> Stove <br /> Interceptor-SandiOil <br /> Roof Drains Water Service(behind meter) <br /> Forced Air S stems Other. Medical Gas <br /> Water Valves or Fixtures <br /> Water Heater <br /> SPRINKLER 1.SUPI3RESSION SYSTEM Sewage Ejector or Sump Pump Other <br /> Water Suppression System , I No.of Heads <br /> ,C emical Suppression System I f No.of Heads <br /> ACKNOWLEDGEMENT:f h-ve reviewed this application end confirm the information contained herein is true end correct Work done pursuant to this permit roust comply with <br /> current federal,state,and lo .4 law.The granting of a permit only authorizes approved work and no deviations therefr=Deviations must first be authorized in writing from the <br /> Building Official before ben,authorized under any circumstance./am the owner,or I am authorized by the owner of this property to perform the work for which application Is made <br /> and!comply with the ,,--- •ntractors Law fan'RCW and 296,200A WAC. <br /> ) Cf)Z1111-'5 PERMIT# City of Everett Official Use Only <br /> 1ix\ ROdo-- Or - o <br /> Owner/AuttitatedA.:• t Signature Date (Revised 10/90/201 8) <br />