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A��r, 1.2016 12:59PM <br />No, 2451 P. 2 <br />�RMIT APPLICAT�O� <br />BUILDINC/IVIECHANIC/�L/PLUMBINCISIG�lSPRiNKLER/DEMO�ITION <br />CITY OF EVERETT P�RCVkI'T SERVICES <br />3200 Cedar St., Everett, WA 98201 4�.�-257-8810 FAX A�25-257�8857 www.everettwa,org <br />81TE ADDRESS: <br />LEGAL for nuw constructlon: Shorf PlaVsubdivi;:i��n, <br />OWNER � U4.1�. 1->�Z'1 �!; ln � in <br />pROPERTV TAX If P MiT � <br />7�U�,.� I� ��n.� EY�� � l c� lJ �� ����" <br />Loi No, (Hftac;h c<.�py n( Iu�7H lagat doscrlpllon) <br />Phane/E-rttal! �I �,� '% ri' 7 � �t !•�<f�.]µ <br />Aciclress ECity/StatelZip �.�/ /�i ;�-, f� ){,�- r� J,�} C� <br />APPLICANT:_Owner _O�vner'�+f�yHnt %� ,Ga�liactor _Contractor'sAr�ent _Tenent(m��-i3�«����i�:,,i�ti��urco„�entrro,n�r,aownerroaovroncinine;pd47) <br />c�nl7RACTOR G&S NEATING State t_ic, # GSHEAC"93QRK Cit B��s. Lic, {F 0'f 9Go5 <br />nddress 3409 EVERETT AV� Nhono/Ln�ai4 425-252-4402 <br />BUlLD1NG PERMI7 APPLICATlON <br />QNTACT FOR P�'�lVllT <br />DAWN WEIM�h �425-252-4402 k�AWN@GSHEATIN .CO <br />ZonelF-maiE <br />ON7RACT PRICE OF WORK � I� "9 :��___ <br />Existin� Use of Builciiny � <br />Prof�osed Use of E3uilding,__�,,,,, _ ,,,__ <br />Buildin� type; _._.., 5ingle F'amily _ Dtiplex _Townhouse .,_ Multi� FHn�lly _ Comil�err,ial <br />TyK3e of project: New Adc�ltiar� _ RemoUol Repair 'f.l. Si In S�rinl<ler <br />DESCRIPTION OF WORK (aitditional sp�ce provi ecl on tl�e byc:�<) : <br />�'� I4^✓ � �/L.J l"yr�' V��,� ~�1,���. �( i� �- <br />MECHANICAL PERMiT LIPPLfCATION <br />7ypo of Project: ,_New _Adtln �Altoratlon �Repalr <br />ShOw Number (#) of 1/XtuYos <br />n/C - air handliri unils <br />�orced air s ste�ris <br />Gas i in <br />Water heater <br />Gas fire lace <br />(�as ranpe <br />SPR! <br />Range hood <br />Exhaust fHn <br />Heat purrlp <br />Unif f7eSteP <br />13oilef <br />Kefri�eralion <br />Woocistove <br />Uuctinc� <br />Other <br />/ SUPPRES�ION S'YSTEM <br />Number of Fleads <br />Gas Fleofri<: Uliior <br />Domolition Chanste of Use <br />PLUMBiNG► PERMIT APPLICATION <br />Type of ProjecL• _Ncw _Addn T�Iteration _ftepair <br />Show Ntimbcr (�) of fixtures <br />Toilef <br />BcZi�I�U�J <br />Lavatar w�sh basin <br />Showei <br />Clathes washar <br />Water hoatnr <br />5inl< (sorvire/bar/m <br />[3aCl<fiow preventer <br />ilrinai <br />Drinking Fountain <br />Floor drain <br />CGrease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Ottler: <br />I hereby certi(y lhait I have ir,;�ei :�nd examined thia application and k�lc�W U18 33111e �o k�e irae end correct. All provisiuns uf laWs ;tn�1 nfdli�sncee governing this typa oFwork will be comFr <br />with whcUtFi sppcmau hereln or noL Tha gra nlinil of a}�PlFl�tl Uoes nol presumo to givc �wlhority lo vl+�lolP �� r.9nce1 the provlaion o f ony othcr stcitc uf IOC:�I 13W i egulating aonatruction <br />Tns� i am authorizo '��c: OWile� n� Inls pro perty to parform tha wuih fof Wf11C11 5ppllcslton ts made snd I comyfy with lhe St.ifr. Ccmlr:�r.�ors �a w 1 B.2'/ RCW and 29G200A WAG. <br />✓° <br />�,_, .. I I E� <br />� ,.,�� �� <br />OwnerlAuthorizod A�cnt Stgnetura natH (Revrsed 9/?.014) <br />