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A� r. 25. 2016 �: 33AM No. 26�i) P, ?/3 i
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<br />PERIVIIT APPLICp►T�ON
<br />BUILDINGIMECHANICAL/PLUIII�BING/SIGNISPRINKLER/DEMOLIT�ON
<br />CITY OF EVEREi'T P�RMlT SERVIC�S
<br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-�857 www.everettw�.or'y
<br />SI7� ADDRESS; , ,� �,
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<br />LEGAL fo� �tew r..onglrucfion: Sf�Oit 4'131�subdivi�ion
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<br />APPLICANT: Qwner OwnCf'S /1c1Cnl X.,_ Contracluf
<br />CONTRACTOR G&S HCATING
<br />A(If�fP6S 3409 �V�RETT AVE
<br />PROYGRTY TAX d
<br />PEUI� E� �I� �' �
<br />Lo! No._,_.,,, , (gttAr,h wpy ut lort� le�]al dESr,ript ion)
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<br />Pl,ortu!'L"-Inall . Y �, � �
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<br />CHy/5tate//ip
<br />(;p�lf9C,�Qf'S E1�6f1� _���Clli�llt (must providc n lelfni vf IXY�IFHI11 �P�m 1ho ovmcr to du v�ik iii 111P zp
<br />state �ic. it GSHEAC°930RK Clty [3us. �ic. # 019685
<br />Nl�one/F,mAil �525-252-4402
<br />BUILDI�IG PERM�T APPLICATIUN
<br />Fxlsling Use of Buildiny....,. ,_,C�'.�. , -`- _(� � {
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<br />Proposed Use Of 8uilding s.
<br />HuiEdit�g lype: _ 5irigle Fai��ily _ �iiplex __.,,,Townhouse _
<br />'fypo of projeck: _ New Addition Ro�tiodef Re���lr
<br />I�ESCRIPTION O� WORK (avu�r�or�al space pmvidad on uic unck) ;
<br />M�CHEINICAL RERIVIIT APPLICATION
<br />pd ol ProJcct: _New _,Add�i �Altaratia�i ......,licpa�r
<br />Shaw Nw11fJCr ) 0( f/xtures
<br />A1C – alr ha��dlin uniis
<br />Forced alr s ste�jls
<br />Gas i irlta
<br />Water heatef
<br />Gas fire lace
<br />Gas ran e
<br />CEnthos dr er
<br />Fi�nq� hood
<br />I�xhaust fan
<br />6 Ne;�t txjmu
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<br />NTAGT FOR P�RMIT
<br />DAWN WEIMER 425-252-4Q02 D�WN a GSHEATIN ,COM I
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<br />NTRACT PRiCE 0� WORK I�)t�C�r � C.�
<br />HEA'i S(�URCE:
<br />Mlfltl-FamiEy _ Cors�rTtierr.iaf
<br />T.I. Si�n Sprijikler Dem011
<br />pLUMBING P�RMIT APP�ICATiON
<br />of Project: _NOW _nddn _Aito�al10�1 _Repair
<br />Siiow Ninnber (#) of fixfuras
<br />1 011el
<br />Bathlub
<br />–�— LavatorY (wasll basin)
<br />uisnwasner
<br />Clotfies wa=_
<br />Slnk (ser
<br />t��Gf<(!nw
<br />Urinal
<br />Boiler dririkirlr� Fouilfain
<br />i2efri eration Fiaor drHitt
<br />WoocEstove Grease tra
<br />Ductin Roof drains
<br />Other Medical Gas
<br />SPRlNKLER / SU�PRL'SSIUN SYSTEM Uthei:
<br />Number of Heads Oti�er:
<br />I fl�'f�'��y C6RIIY U18t I f1lVr frs�d nrld BX9111i118d lhl3 �gplt�::diutl 9ilU kf1GW 2I10 S�mC tu br. h�le sncl CofroCt. All pfovl �iun.> ot tetva and ordin¢mccs �c�vemfng Ihla NDc o( w��rk wilf Ue cornpi
<br />wiRl WI1BiI10f BpOCI�C(� I��-�F.iO Uf i101. I Ilfl pfflRtlfl�J ��F a pefrol[ Ooea not prn �unu: t<� yiva aulhodly to violat�� su cancef Ihe proviston n( any uu�rr slste or locctl law r�:p�il;iliiiy cu�ialructlon
<br />1 nsl I nm ;�ullu��ireu'G'� �he oemor oF 1hi:, p���perly lo peAorm th�= wcnk <<,r wluch appllcntion i � m��dc :inU I comply wlih ihr. Cl;dr: Conitsc[ors Law 9 F1,�� Rc'w snu 2416.2UUA W�G
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<br />pwner/Autilol'I[cd Age�t Siflnat�tr� DA�P. (ItevisPd 9/2094J
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