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Jul, 26, 2i.11b 7.38AM <br />No.3391 P, 3 <br />�E�R <br />MIT APPLICATIO� <br />BUlLD1NG/MECHAN�CAL/PLUMBfNG/SIGN/SPRINKLERIDErVIOL[TION <br />• �ITY OF EV�RETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257W8810 FAX 425-257-5857 www,everettw�_org <br />SIT� A; DR;SS: PROPER-n'TAXlt ,�l�o� 1p� PE,F�fNI�# ;^i' `�/� <br />l U U 1 <br />LEGAL for naw construction; 5hort PldVsubdivislon Lot No. (attach copy of long legal dsscription) <br />OWNER �%1C� Gi Phone/E-mail � ��'�g��� <br />Address l�� � �� City/State/Zlp (��� � � �� <br />APPLICAN7: _ Owner _ Owner�s Agant X Contractor _ ContraCtor's Agent _ Tenant cmus� pro�iao a I�tt��o��on.en�rrom ina ownar co ao worK In �no sa���) <br />CON7RACTOR G&S HEATING State Lic. # GSHEAC"930RK City Bus. Lic. # 019685 <br />Address 3409 EVEREI�T AVE Phvne/Em2il 425-252-4402 <br />TENAN7 BUSINESS NAME CONTACT FOR PERM17 <br />DAWN WEIMER 425-252-4402 DAWN@GSHEATIN CON <br />Phone/E-mail <br />BUILDING PERMIT APPLICATIQN <br />PRICE OF WORK <br />Existing Use of Building � <br />Proposed Use of Building <br />Bufltiing type; _ Single Family _ Duplex Townhouse _ Multi-Family _ Commercial <br />Type of project; niew Addition Remodel Repair T.I, Siqn Sprinkle <br />b�SCRIPTION OF WORM< (adrlitiona! space providea on rhe b�ck} : <br />' v'1G�i , �. �� /�� I�_ (�'����L �/����t,�- �; � 1�� <br />M�CH4NICAL PERMIT APPLICATION <br />Type of Projact: _New _Add� �Itaratlon �Repair <br />Show Number (#) of fiXturas <br />A/C — air handling units <br />Forced alr svstems <br />Water heater <br />Gas fireplace <br />Gas ran.ge <br />Clothes dryer <br />Range ho0d <br />Exhaust fan <br />Meat pump <br />Unit heater <br />Boiler <br />woadstove <br />Ductin <br />Other <br />SPRINMCLER / SUPPRE <br />Number of He <br />SYSTEM <br />HEAT SOURCE: <br />Electric <br />n Chanae of Use <br />PLUMBING P�RMIT APPLICATION <br />Type of Project: _New_Addn _Alteratlon _Repa�r <br />Shaw Number (!�) of fbctures <br />7oilet <br />Bathtub <br />Lavatory (wa� <br />Shower <br />Kitchen sink � <br />Dishwasher <br />Clothes wasl� <br />Water heater <br />Sink (service� <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roaf drains <br />Medical Gas <br />Other: <br />Other <br />I hereby certify that I ha�e resd and 6xemined this appliC�fon snd know the same to b� tYue and conecZ, Alf provisiona of lews and ordinances governing this type of work will be compi <br />w;th whether specified harein or not TI1e gr5�ting of e permii doas nol pfeSume to give authorily to violate or CenCel �ne provi9lon of any other statc or loCdl law regulating construction <br />That I sm e horized by ifte owner of this property to peffofm the work for which application is m&de ana I comply with lhe State Contractots Lew � a,27 RCW and 295200A WAC. <br />-- � �s(L� <br />OwnerlAu ed Agent Signature Date (Revlsed 9/2014J <br />