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Jun, 27, 2016 12:29PM <br />No. 3173 P. 2 <br />� <br />PEI�MIT APPLICATIO <br />BUILDING/MECHANICA,L/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br />CITY OF EVERETT PERMIT S�RVICES <br />3200 Ced�r St., Everett, WA 98201 425-257-8610 FAX 425-257-8857 www.evereftwa.org <br />SITE ADDR�SS� <br />L.EGAL tor new conslrucllon� Short PlaUsubdlv[sl <br />owN�� Y� :, <br />irees \ �IU J <br />PlICANT: ,� Owner <br />Owner's Agent X Con�ractor <br />CONTRACTOF2 G&S HEATING <br />addross 3409 EVERETT AV� <br />BUILDINCy PERMIT �1PPLICATION <br />ROPEftYY TAX f{ <br />Phone/E�mall <br />� (�i n �0� <br />No. (atlach copy of long Iegal descripllon) <br />4 <br />ContfaGtof'6 Ag@l11 ,� Yert8i1C (muel pravide a leiler at consenl irom I�e owner lo aa work In Ine apac� <br />state Lic. #� GSHEACW930RK Clly Bus. Lic. # 019685 <br />Phone/Email 42 5-252-4402 <br />WN WEIM�R 425-252-4402 DAWN@GSH�A7IN�.CO <br />nall <br />PRIC� O� WO1�K <br />Existing Use of Bulldfnc� _ _ � <br />proposed Use of Building <br />Bulfding type: _ Single Family � Duplex TTownE�ouse _ Mulil-Famlly � Cornmercial <br />Type of project; New Addition _ Remodel Repalr_T.I. _ Sign _Sprinklei <br />bESCRIPTION OF WORK (additlonal space p�ov7ded o» fhe back) : <br />IYI�CHANICAL PERMIT 11PPLICATION <br />Type of Project: _Naw _Adcln Iteratlon _Repair <br />ShewNum6er # offlxtures <br />A/C — alr f�andling unils <br />Forced alr sysle�ns <br />Water heater <br />Gas fireplace <br />Gas rai�ge <br />Clothea dryer <br />Ranc�e hood <br />ExhRust fan <br />Woodstove <br />Ductin <br />Other <br />SPRINKLER / SUPPRESSION �YSTEM <br />Numher of Heads <br />,T SOURCE: <br />Eleclric <br />e af Use <br />PLUMBING PERMIT AP�I.ICATION <br />pe of Projsct: _New �Addn �Alteratlon _Repafr <br />SNow Nurnbor (#) of flxtures <br />I Tollet <br />Balhtub <br />Kftohen slnk 8� dlsposal <br />Dishwasf�er� <br />Cloihes washer <br />Ws1er heater <br />Sink (servlce/bar/mople <br />Backflow preventer <br />Drinking Fountaln <br />�loor drain <br />Grease trap <br />Roof drains <br />Medlcal Gas <br />Other: <br />I hefeby Cerl��y ��sl I hsve read and examined this applica(ion and know the Same tP Ue Irue anQ �orfecl- AU provlafone of lewa and ordinsncee governing lhis lype of wark will be compl <br />wlln wnelher spec�ad harein or noL TFIe qr� nl(ng Pi a perml� doee not preaume to glve au(horily lo vialalo or cancel lhe provisSOA o � any OlF1er g�ale of locsl law regwel(ng conelructfon <br />ihal f am au�o�1zed uy Lhe owner of Ihle pro peny lo perfortn Iha Work for wttlC+1 applfCSlfon I8 n»Qe and I compfy wfih �he S�ata Conlreclora La w 16.27 ACW and 296.200A WAC. <br />� ��� <br />Owne uthorized Agent Signatur0 Dale (Revised 9/2094J <br />