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Ma r. 17. 2016 10 : 51 AM No. 2272 P, 2 <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 982.01 42.5-257-8810 FAX 425-257-8857 www.averettwa.org <br /> SITE ADDRESS: PROPE7(Y(TAJ{ .p O <br /> l `-�; <br /> LEGAL for new construcllon: Short Platisuhdivision. Lot No. (attach Copy of long(eget dascilpNon) <br /> Pt1U11CI1.:•rY1All \:t..) <br /> OWNER <br /> _:.\ , city/Suite/zip Addrpss <br /> APPLICANT: Owner Owner's Agent X Contractor ,.Cotltractor'S Agurll Tenant(rii,mlpro�idaerauarofwneentrmmthuw„)eriono—k nlhaspacc) <br /> CONTRACTOR G&S HEATING State Lic.it GSHEAC*930RK City taus.Lic,fl 019685 <br /> Addrusl 3409 EVERETT AVE PhnnelEmail 425-2524402 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> DAWN WEIMER 425-252-4402 DAWN@GSHEATIN .COM <br /> Phone1E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ,f) <br /> ExistingUsu of Building HEAT SOURCE: <br /> Proposed Use of Quitding. . E7EGas F.Ipctric Other <br /> Building type: /\Single Family _Duplex_'i ewnhouse Multi-Family Commercial <br /> T e of pro act: _New Actditivll fter)lodel Repair T-I. Sign 5 iinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(addiirorel spaco provided ort the back): <br /> (,t 1. �.}.l..i.:; ' S.2r.• i” ,.; t t.J-.. Y-4 Ii,_. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _Now_Addri AltercRion_Rep;tlr Typo of Project: ,_New_,Addn _Alteratior)_Repair <br /> Show Number # of fixtures Show Number M of fixtures <br /> AIC--air handling units Toilet <br /> Forced airs stems Bathtub <br /> Uas pipino Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&dis Osal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Rawe hood Water heater <br /> Exhaust fan Sink servicelbarlmo /etc. <br /> Heat portip Backflow preventer <br /> Unit heater Urinal <br /> Boiler DrinkingFountain <br /> Rcfri eration Floor drain <br /> Woodstove Grease trap <br /> (1)(icting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM other: <br /> Nurllbcr of Heads Other: <br /> I hereby cmliry that I t6,ve read and examined this applleallon acid know the same to be Ime and correct,All provlalom:ur lawa and nrdinancea goveming this type or work will Ise comp) <br /> with wtieltier apccifed herein or not.The tlmnliuU of a pormil Boas not Plc::unle to pivn.aulhonty to vinl,ala or cairn.(the provision or any othcr:aWle or local I;-regulating canslracllon <br /> 711,t I am eu+tiYq� ed by thr,owuwr of this rrupeity to wufmll the work fur which applivallon la made and I comply with the SLde contracluis Law 18.27 RCW and 2`16,200A WAG. <br /> (Revised N/2014) <br /> OwncrlAulhorized Agent Signature Dale <br />