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Auc, 22. 2i�i16 g;21AM <br />No.3G23 P. 3 <br />�I�IViIT APPLICATIO <br />BUILDING/MECHANICAL/PLU�IIIBING/S1GN/SPRINKLER/D�MOLITION <br />GITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />PBOPERTY TAX tt <br />LEGAL for new cvnstruttion: Short Plat/suhtlivision Lot No. (attach copy of long legdl deSCriptien) ` <br />OWNE12 � n i�� (� ��TW L�V l_ S Phvne/E-rneii ZT -�S YI C� � <br />PLIGANT: , Owner _ Owner's Agant X Con[ractor <br />NTRACTOR G&S HEATING <br />��855 3409 EVERETT AVE <br />NANT BU51NES5 NAIVI� <br />BUILDING PERMIT APPLICATION <br />CltylState/Zfp C' ec � � <br />�.Of1tf3CtOC�S �iQ@flt _ Tefl8llt (fnUSt pfGVltic a lanvr of consa�tf�m the ownef t0 tlo v;o(K in the SP9CE <br />5tate ��c. # GSHEAC*930RK City Bus. �ic. # 96�� <br />PhoneJEmall 425-252-44 <br />CON7AC7 KOR PERMIT <br />DAWN WEIMER 425-252-4402 DAWN@GSHEATIN <br />Phone/E-rnail <br />cOwTRAC7 pt�ICE OF WORK G OOO • _ "� <br />Existing Use of Building HEA7 SOURCE: <br />P�oposed Use of Building Gas Eleccrlc Other <br />Building type: _ Single Family _ Dupfex Townhouse _ Multi-Family _ Cornmercial <br />Type of project: New Addition Remodel Repair T.I. _ Siqn _Sprinkfer _Demolition_Change Q' <br />�ESCRIPT[ON dF �O}ZK (additlor,a/ space provided on fhe beck) ; <br />MECMAN�CAL PERMIT APPL1CA710N <br />Type of Project: _New �Addn �Iteration _Repair <br />Show Number # of ftxtures <br />A/C — air handlin units <br />Forced air s stems <br />Gas i inq <br />Water heater <br />Gas fire face <br />Gas ranqe <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit he�ter <br />Soiler <br />Refrigeration <br />Woodstove <br />SPRINKLER / SUPPRE3�ION SYSTEM <br />Number of Heads <br />PI�UMBINC� PERMIT APPLICATION <br />of ProJsct: _New �ddn �Alteration `Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavatory (wash ba.sin <br />Shower <br />Kitchen sink & dis os <br />Dish�vasher <br />Clothes washer <br />Water heater <br />Slnk (service/bar/mo� <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby cenity thet I have reed and examincd tlti5 dppliCAt�on and know the same to be true end correct. All provisions of laws and o�-tl�ndnCeE governing this type of work wlll be compl <br />wilh whether spcCifietl hefeln or not. 7he grsnting of a permit does not presume to qive autfl0fdy to violate or cance� the provlalon of any othar state or locel law regulaling consiruction <br />That I am aiQhorfiied by tha owner of this properly to perforcn tl�e work forwhich application ie made and I comply with tho StatC Contr4ttofs Law i 6.27 RCw anQ 298.2ooA �NAC. <br />�. ���Zi�� <br />pw rlA� or7zstl Agsnt Slgnaturs Ddte (Revised 9/2094J <br />